Individual provider Active NPI

Judith Simpson Neighbours, PHD

  • Clinical Psychologist
  • Spearfish, SD
National Provider Identifier
1790733178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
321 Issued in SD
Practice address
125 E Colorado Blvd
Suite 2D
Spearfish, SD 57783-2795
Phone
(605) 642-5030
Fax
(605) 722-0028
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 321 SD Primary

Addresses

Primary practice location

125 E Colorado Blvd
Suite 2D
Spearfish, SD 57783-2795

Mailing address

125 E Colorado Blvd
Suite 2D
Spearfish, SD 57783-2795
Phone (605) 642-5030

Other identifiers 2

IdentifierTypeStateIssuer
6550883MedicaidSD
4157OtherSDBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321SDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Melnick, MD, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790733178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E COLORADO BLVD",
            "address_2": "SUITE 2D",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832795",
            "telephone_number": "605-642-5030",
            "fax_number": "605-722-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E COLORADO BLVD",
            "address_2": "SUITE 2D",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832795",
            "telephone_number": "605-642-5030",
            "fax_number": "605-722-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIGHBOURS",
        "first_name": "JUDITH",
        "middle_name": "SIMPSON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6550883",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4157",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.