Individual provider Active NPI

Margaret D Kelsey, PHD

  • Clinical Psychologist
  • Rapid City, SD
National Provider Identifier
1912978966
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
327 Issued in SD
Practice address
1818 W Fulton St
Suite 201
Rapid City, SD 57702-4377
Phone
(605) 348-6500
Fax
(605) 341-7409
NPI assigned
Jan 29, 2006
Last updated
Jan 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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 327 SD Primary

Addresses

Primary practice location

1818 W Fulton St
Suite 201
Rapid City, SD 57702-4377

Mailing address

1818 W Fulton St
Suite 201
Rapid City, SD 57702-4377
Phone (605) 348-6500

Other identifiers 3

IdentifierTypeStateIssuer
6550934MedicaidSD
4997479OtherSDBCBS
411990854OtherSDTRICARE

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
I20081211000845 SD Practitioner - Clinical Psychologist 4981765781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1818 W Fulton St
Suite 201
Rapid City, SD 57702-4347
Phone (605) 348-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327SDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carver Grupp Psychological Services Inc. Clinical CurrentSince Mar 1, 2001 Accepting new patients

Locations

1818 W Fulton St
Ste 201
Rapid City, SD 57702
Phone (605) 348-6500

825 Columbus St
Ste 1
Rapid City, SD 57701
Phone (605) 348-6500

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": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1912978966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W FULTON ST",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024377",
            "telephone_number": "605-348-6500",
            "fax_number": "605-341-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 W FULTON ST",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024377",
            "telephone_number": "605-348-6500",
            "fax_number": "605-341-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "MARGARET",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-29",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6550934",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4997479",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "411990854",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.