NPIMap

Organization Active NPI

Marvin Bouska, M.S., L.L.C.

  • Clinical Psychologist
  • Rapid City, SD
National Provider Identifier
1740624550
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
191 Issued in SD
Legal business name
MARVIN BOUSKA, M.S., L.L.C.
Practice address
1818 W Fulton St
Rapid City, SD 57702-4377
Phone
(605) 348-6500
NPI assigned
Apr 23, 2013
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Mr. Marvin BouskaNPI 1730207952
Title
Psychologist
Phone
(605) 348-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 191 SD Primary

Addresses

Primary practice location

1818 W Fulton St
Rapid City, SD 57702-4377

Mailing address

1818 W Fulton St
Rapid City, SD 57702-4377

National Provider Directory

National Provider Directory

Locations

1818 W Fulton St
Rapid City, SD 57702
Phone (605) 348-6500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1740624550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W FULTON ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 W FULTON ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024377",
            "telephone_number": "605-348-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN BOUSKA, M.S., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "BOUSKA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "605-348-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.