Individual provider Active NPI

Darlene Marie Wilcox, PH.D., LP

  • Clinical Psychologist
  • Rapid City, SD
National Provider Identifier
1730412867
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
680 Issued in SD
Practice address
1770 Rand Rd
Rapid City, SD 57702-9347
Phone
(605) 791-1514
Fax
(844) 831-2349
NPI assigned
Sep 8, 2009
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5095 MN
Clinical Psychologist 103TC0700X 680 SD Primary

Addresses

Primary practice location

1770 Rand Rd
Rapid City, SD 57702-9347

Mailing address

1770 Rand Rd
Rapid City, SD 57702-9347
Phone (605) 791-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100323000789 TX Practitioner - Clinical Psychologist 5496880890 Reassigns benefits to 3 organizations
I20250418001916 SD Practitioner - Clinical Psychologist 5496880890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Dakota School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgewater Behavioral Health LLCGroup PAC ID 7911216502, 4 clinicians

Practice addresses (Care Compare)

1770 Rand Rd
Rapid City, SD 57702-9347
Phone (605) 791-1514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5095MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Sep 25, 2013 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Aug 29, 2017 Accepting new patients
Great Plains Tribal Chairmen's Health Board CurrentSince Apr 8, 2024 Accepting new patients
Bridgewater Behavioral Health, LLC CurrentSince May 5, 2025 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Aug 29, 2017 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

107 H St
Poplar, MT 59255
Phone (406) 738-3491

1770 Rand Rd
Rapid City, SD 57702
Phone (605) 791-1514

3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1730412867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 RAND RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029347",
            "telephone_number": "605-791-1514",
            "fax_number": "844-831-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 RAND RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029347",
            "telephone_number": "605-791-1514",
            "fax_number": "844-831-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DARLENE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5095",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.