Justine Ashokar, PH.D.
Individual provider Active NPI Psychologist · Rapid City, SD
NPI 1790222008 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1790222008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 550 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Rapid City Hospital Inc
Practice addresses (Care Compare)
677 Cathedral Dr
Suite 201
Rapid City, SD 57701-7389
Phone (605) 755-5276
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170307002757 | SD | Practitioner - Clinical Psychologist | 0042594236 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current |
Accepting new patients | |
| Black Hills Works Inc | Current |
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
- jashokar.170595@regionalhealth.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 550 | SD | Yes |
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
NPI Registry JSON
{
"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
- Mary Artichoker
- Doreen Aryee
- Wendy Lynn Asher
- Jeanie Ashley
- Pauline Ashley
- Associates in Plastic & Reconstructive Surgery Inc
- Atg Colorado Inc
- Lori Atkins
- Darby M Atkinson
- Atlas PLLC
All providers in Rapid City, SD · Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.