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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (560 clinicians)

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc Current
since Oct 13, 2024
Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc. Current
since Oct 13, 2024
Accepting new patients
Black Hills Works Inc Current
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2017.

{
    "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

All providers in Rapid City, SD · Psychologist in South Dakota

Sources for this page

Verify at the official NPI Registry.