Individual provider Active NPI

Justine Ashokar, PH.D.

  • Psychologist
  • Rapid City, SD
National Provider Identifier
1790222008
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
550 Issued in SD
Practice address
803 Soo San Dr
Rapid City, SD 57702-3142
Phone
(605) 718-8446
Fax
(605) 721-9858
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 550 SD Primary

Addresses

Primary practice location

803 Soo San Dr
Rapid City, SD 57702-3142

Mailing address

2605 Tomahawk Dr
Rapid City, SD 57702-5254
Phone (605) 718-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170307002757 SD Practitioner - Clinical Psychologist 0042594236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

677 Cathedral Dr
Suite 201
Rapid City, SD 57701-7389
Phone (605) 755-5276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2200ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 13, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 13, 2024 Accepting new patients
Black Hills Works Inc CurrentSince Feb 1, 2017 Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

3650 Range Rd
Rapid City, SD 57702
Phone (605) 343-4550

677 Cathedral Dr
Ste 201
Rapid City, SD 57701
Phone (605) 755-5276

Interoperability endpoints

  • Direct secure messaging: jashokar.170595@regionalhealth.sdhealthlink.net

Organizations & group practices 4

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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1790222008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 TOMAHAWK DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025254",
            "telephone_number": "605-718-8446",
            "fax_number": "605-721-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SOO SAN DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023142",
            "telephone_number": "605-718-8446",
            "fax_number": "605-721-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHOKAR",
        "first_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.