Psychological Services of Vermillion, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

455 Issued in SD

Legal business name

PSYCHOLOGICAL SERVICES OF VERMILLION, LLC

Practice address

110 E Main St
Vermillion, SD 57069-2201

Phone

(605) 624-9307

Fax

(605) 624-9308

NPI assigned

Jan 24, 2008

Last updated

Jan 24, 2008By 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. Kristine Lynn Brady, PH.D.NPI 1295716389

Title

Owner

Phone

(605) 624-9307

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kristine Lynn Brady, PH.D.

  • Clinical Psychologist
  • Vermillion, SD
  • NPI 1295716389
  Authorized official Same address or phone

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1982881769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "address_2": "P.O. BOX 283",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692201",
            "telephone_number": "605-624-9307",
            "fax_number": "605-624-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692201",
            "telephone_number": "605-624-9307",
            "fax_number": "605-624-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES OF VERMILLION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-624-9307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mary Phelan, AUD
• Levi B Pole, DPT
• Rachel Post, PH.D
• Progression Psychological & Behavioral Health Group
• Gary Prosser, DDS
• Jacob Frank Quail, M.D.
• Kimber Lee Reins, SLP
• Dawn Reuvers, OTR
• Amy R Richardson, ATC
• Lukas Dean Rohde, PA

• Clinical Psychologist in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Clinical Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.