Individual provider Active NPI

Carol M Mehlhaff, PHD

  • Psychologist
  • Yankton, SD
National Provider Identifier
1972598993
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
405 Issued in SD
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

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4994144OtherSDWELLMARK
21182OtherSDSIOUX VALLEY HEALTH PLAN
90041850OtherSDUNITED HEALTH CARE
P405OtherSDDAKOTACARE
6552250MedicaidSD

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
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

LicenseStateTypeSpecialty
835IAMDPsychologist
405SDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Psychological Services PastSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.