Individual provider Active NPI

Mathias Stricherz, EDD, CCDC III, CPS

  • Addiction (Substance Use Disorder) Psychologist
  • Vermillion, SD
National Provider Identifier
1811155682
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
284 Issued in SD
Practice address
213 Forest Ave
Vermillion, SD 57069-3109
Phone
(605) 624-3333
Fax
(605) 624-6226
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 284 SD Primary

Addresses

Primary practice location

213 Forest Ave
Vermillion, SD 57069-3109

Mailing address

213 Forest Ave
Vermillion, SD 57069-3109
Phone (605) 624-3333

Other identifiers 1

IdentifierTypeStateIssuer
655 1760MedicaidSD

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

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1811155682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 FOREST AVE",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693109",
            "telephone_number": "605-624-3333",
            "fax_number": "605-624-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 FOREST AVE",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693109",
            "telephone_number": "605-624-3333",
            "fax_number": "605-624-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICHERZ",
        "first_name": "MATHIAS",
        "name_prefix": "Dr.",
        "credential": "EDD, CCDC III, CPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "655 1760",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.