Organization Active NPI

Stuart Krause PHD Clinical Psychology, LLC

  • Clinical Psychologist
  • Rapid City, SD
National Provider Identifier
1831524370
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
511 Issued in SD
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

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Jim S Krause, PHDNPI 1639232325
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.