NPIMap

Organization Active NPI

Rapid City Mental Health Prof. LLC

  • Addiction Psychiatry Physician
  • Rapid City, SD
National Provider Identifier
1982251252
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
RAPID CITY MENTAL HEALTH PROF. LLC
Practice address
3939 Canyon Lake Dr Ste a
Rapid City, SD 57702-0827
Phone
(605) 716-3555
Fax
(605) 413-1143
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Jennifer A Erdman, CNPNPI 1013222157
Title
Owner
Phone
(605) 716-3555

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
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

3939 Canyon Lake Dr Ste a
Rapid City, SD 57702-0827

Mailing address

3939 Canyon Lake Dr Ste a
Rapid City, SD 57702-0827
Phone (605) 716-3555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@rapidcitymentalhealth.com Direct

National Provider Directory

National Provider Directory

Locations

3939 Canyon Lake Dr
Ste A
Rapid City, SD 57702
Phone (605) 716-3555

Interoperability endpoints

  • Direct secure messaging: office@rapidcitymentalhealth.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1982251252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 CANYON LAKE DR STE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020827",
            "telephone_number": "605-716-3555",
            "fax_number": "605-413-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 CANYON LAKE DR STE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020827",
            "telephone_number": "605-716-3555",
            "fax_number": "605-413-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID CITY MENTAL HEALTH PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "ERDMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-716-3555",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@rapidcitymentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3939 Canyon Lake Dr Ste A",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577020827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 21, 2019; 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.