Lac Castor Wellness, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CP001043 Issued in SD

Legal business name

LAC CASTOR WELLNESS, LLC

Practice address

3213 W Main St
Rapid City, SD 57702-2314

Phone

(605) 415-1616

NPI assigned

May 9, 2016

Last updated

Mar 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melinda McCusker, PHD, CNP

Title

Owner/Founder

Phone

(605) 415-1616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1962858985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 W MAIN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022314",
            "telephone_number": "605-415-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 W MAIN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022314",
            "telephone_number": "605-415-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC CASTOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "MCCUSKER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "605-415-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP001043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison La Voie, DC
• Katherine Labonte, RN
• Laboratory Corporation of America
• Laboratory Corporation of America
• Sonja Samsoondar Labrie, MD
• Jaden Lafleur
• Taylor Lage, RBT
• Erika Lahood-Burns, CSW-PIP, QMHP
• Sharon S Lai, DR.
• Laidlaw Counseling LLC

• Psychiatric/Mental Health Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.