Individual provider Active NPI

Kari Ann Scovel Hendrickson, PH.D.

  • Psychologist
  • Rapid City, SD
National Provider Identifier
1811967607
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
439 Issued in SD
Practice address
2902 W Main St Ste 2
Rapid City, SD 57702-8174
Phone
(605) 721-8822
Fax
(605) 722-8928
NPI assigned
Jan 24, 2006
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 439 SD Primary

Addresses

Primary practice location

2902 W Main St Ste 2
Rapid City, SD 57702-8174

Mailing address

PO Box 387
Rapid City, SD 57709-0387
Phone (605) 721-8822

Other identifiers 2

IdentifierTypeStateIssuer
6552060MedicaidSD
2102908OtherSDCIGNA BEHAVIORAL HEALTH

Other names 1

  • Ms. Kari Ann Scovel Professional name

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
I20040518000366 SD Practitioner - Clinical Psychologist 5395735500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scovel Psychological and Counseling Services LTDGroup PAC ID 2961493788, 9 clinicians

Practice addresses (Care Compare)

2902 W Main St
Suite 2
Rapid City, SD 57702-8174
Phone (605) 721-8822

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
439SDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scovel Psychological and Counseling Services, LTD Psychologist CurrentSince Apr 1, 2004 Accepting new patients

Locations

2902 W Main St
Ste 2
Rapid City, SD 57702
Phone (605) 721-8822

636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000

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, 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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1811967607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577090387",
            "telephone_number": "605-721-8822",
            "fax_number": "605-721-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W MAIN ST STE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028174",
            "telephone_number": "605-721-8822",
            "fax_number": "605-722-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVEL HENDRICKSON",
        "first_name": "KARI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6552060",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2102908",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "SCOVEL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.