Active NPI
Carol M Mehlhaff, PHD
- Psychologist
- Yankton, SD
National Provider Identifier
1972598993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 405
- Practice address
- 317 Broadway Ave Ste 10
Yankton, SD 57078-4260 - Phone
- (605) 520-0477
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 835 | IA | |
| Psychologist | 103T00000X | 405 | SD | Primary |
Addresses
Primary practice location
317 Broadway Ave Ste 10
Yankton, SD 57078-4260
Mailing address
PO Box 873
Yankton, SD 57078-0873
Phone (605) 520-0477
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4994144 | Other | SD | WELLMARK |
| 21182 | Other | SD | SIOUX VALLEY HEALTH PLAN |
| 90041850 | Other | SD | UNITED HEALTH CARE |
| P405 | Other | SD | DAKOTACARE |
| 6552250 | Medicaid | SD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000270 | SD | Practitioner - Clinical Psychologist | 8123113966 | Practice locations: Yankton, SD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Sanford School of Medicine of University of South Dakota, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
317 Broadway Ave
Suite 10
Yankton, SD 57078-4260
Phone (605) 520-0477
PO Box
Suite 873
Yankton, SD 57078
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835 | IA | MD | Psychologist |
| 405 | SD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Psychological Services | Past | Accepting new patients | |
| Human Service Agency | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Yankton, SD
- NPI 1679574578
-
- Addiction (Substance Use Disorder) Counselor
- Watertown, SD
- NPI 1720074644
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1972598993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 873",
"city": "YANKTON",
"state": "SD",
"postal_code": "570780873",
"telephone_number": "605-520-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 BROADWAY AVE STE 10",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784260",
"telephone_number": "605-520-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHLHAFF",
"first_name": "CAROL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "835",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": "405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "4994144",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "21182",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "90041850",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "P405",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6552250",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.