Active NPI
Deborah Susan Cavanaugh, MD
- Psychiatry Physician
- Belle Fourche, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 45523
- Practice address
- 836 5TH Ave
Belle Fourche, SD 57717-1607 - Phone
- (832) 604-3771
- NPI assigned
- Oct 2, 2006
- Last updated
- Feb 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5199 | SD | |
| Psychiatry Physician | 2084P0800X | MD-23081 | HI | |
| Psychiatry Physician | 2084P0800X | 45523 | MN | Primary |
Addresses
Primary practice location
836 5TH Ave
Belle Fourche, SD 57717-1607
Mailing address
73-4331 Kakahiaka St
Kailua Kona, HI 96740-9548
Phone (605) 321-2549
Other practice location 1
500 Ala Moana Blvd Ste 400
Honolulu, HI 96813
Phone (832) 604-3771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-23081 | HI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast St. John's Hospital | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Integrative Psychiatry, P.C. | Psychiatry | Past | Accepting new patients |
| Avera McKennan | Past | Accepting new patients | |
| Stronghold Counseling Services Inc | Past | Accepting new patients | |
| Southeastern Behavioral Healthcare | Past | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Past | Accepting new patients | |
| Southeastern Behavioral Healthcare | Past | Accepting new patients | |
| East Central Mental Health & Chemical Dependency Center | Past | Accepting new patients | |
| University Physician | Past | Accepting new patients |
Locations
6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1033275458
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
dba HealthEast Professional Services
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
dba HealthEast Surgery
- Surgery Physician
- Maplewood, MN
- NPI 1750791810
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1720171283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73-4331 KAKAHIAKA ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967409548",
"telephone_number": "605-321-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 5TH AVE",
"city": "BELLE FOURCHE",
"state": "SD",
"postal_code": "577171607",
"telephone_number": "832-604-3771"
}
],
"practiceLocations": [
{
"address_1": "500 Ala Moana Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "96813",
"country_code": "US",
"telephone_number": "832-604-3771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "DEBORAH",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SD",
"license": "5199",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-23081",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "45523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belle Fourche, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.