Active NPI
Stuart Krause PHD Clinical Psychology, LLC
- Clinical Psychologist
- Rapid City, SD
National Provider Identifier
1831524370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 511
- Legal business name
- STUART KRAUSE PHD CLINICAL PSYCHOLOGY, LLC
- Practice address
- 550 N 5TH St
Ste 3210
Rapid City, SD 57701-1375 - Phone
- (605) 791-0666
- NPI assigned
- Sep 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim S Krause, PHD
- Title
- Owner
- Phone
- (605) 791-0666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 511 | SD | Primary |
Addresses
Primary practice location
550 N 5TH St
Ste 3210
Rapid City, SD 57701-1375
Mailing address
643 Northern Lights Blvd
Apt 1311
Box Elder, SD 57719-6109
Phone (605) 791-0666
National Provider Directory
National Provider DirectoryLocations
550 N 5th St
Ste 321
Rapid City, SD 57701
Phone (605) 718-2074
550 N 5th St
Ste 3210
Rapid City, SD 57701
Phone (605) 791-0666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Rapid City, SD
- NPI 1639232325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378166400000",
"number": "1831524370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 NORTHERN LIGHTS BLVD",
"address_2": "APT 1311",
"city": "BOX ELDER",
"state": "SD",
"postal_code": "577196109",
"telephone_number": "605-791-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N 5TH ST",
"address_2": "STE 3210",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577011375",
"telephone_number": "605-791-0666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART KRAUSE PHD CLINICAL PSYCHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A",
"authorized_official_last_name": "KRAUSE",
"authorized_official_first_name": "JIM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-791-0666",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "SD",
"license": "511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.