| Heartland Psychological Services | |
|
904 W 23rd St Suite 101 Yankton SD 57078-1216 | |
| (605) 665-0841 | |
| (605) 665-0096 |
| Full Name | Heartland Psychological Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 904 W 23rd St, Yankton, South Dakota |
| Authorized Official Name and Position | Joseph G Blackinton (DIRECTOR) |
| Authorized Official Contact | 6056650841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Psychological Services 904 W 23rd St Suite 101 Yankton SD 57078-1216 Ph: (605) 665-0841 | Heartland Psychological Services 904 W 23rd St Suite 101 Yankton SD 57078-1216 Ph: (605) 665-0841 |
| NPI Number | 1679574578 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3476535725 |
|---|---|
| Medicare Enrollment ID | O20040602000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679574578 | NPI | - | NPPES |
| 6552242 | Medicaid | SD | |
| 6551632 | Medicaid | SD | |
| 6576050 | Medicaid | SD | |
| 0007251 | Other | SD | BC BS GROUP PROVIDER # |
| 6575780 | Medicaid | SD | |
| 6550552 | Medicaid | SD | |
| 7100763 | Medicaid | SD | |
| 9171289 | Other | SD | DAKOTA CARE GROUP # |
| Provider Name | Tonja S Koenigs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104042696 PECOS PAC ID: 5395634778 Enrollment ID: I20070607000479 |
| Provider Name | Danelle L Pennock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740411859 PECOS PAC ID: 6800942863 Enrollment ID: I20090917000131 |
| Provider Name | Ramesh B Somepalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689699811 PECOS PAC ID: 3577737428 Enrollment ID: I20111110000927 |
| Provider Name | Ashley L R Termansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124449772 PECOS PAC ID: 5193948941 Enrollment ID: I20140522002419 |
| Provider Name | Sherry E Gaskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518303783 PECOS PAC ID: 4789948183 Enrollment ID: I20180511001322 |
| Provider Name | Veronica Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194218966 PECOS PAC ID: 5395092472 Enrollment ID: I20180719004077 |
| Provider Name | Stephanie M Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053854547 PECOS PAC ID: 1557609963 Enrollment ID: I20190211000909 |
| Provider Name | Heather Y Salis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942853429 PECOS PAC ID: 4183956501 Enrollment ID: I20191104001605 |
| Provider Name | Mary C Mayrand-sternhagen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073676631 PECOS PAC ID: 4587646849 Enrollment ID: I20231228003071 |
| Provider Name | Mikaela K Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184904690 PECOS PAC ID: 5799115093 Enrollment ID: I20240104002262 |
| Provider Name | Courtney Q Ballard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548868938 PECOS PAC ID: 2163873944 Enrollment ID: I20240105000882 |
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