| Southeastern Behavioral Healthcare | |
|
2000 S Summit Ave Sioux Falls SD 57105 | |
| (605) 336-0510 | |
| Not Available |
| Full Name | Southeastern Behavioral Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 S Summit Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Robyn Brower (BUSINESS MANAGER) |
| Authorized Official Contact | 6053360510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Behavioral Healthcare 2000 S Summit Ave Sioux Falls SD 57105-2727 Ph: (605) 336-0510 | Southeastern Behavioral Healthcare 2000 S Summit Ave Sioux Falls SD 57105 Ph: (605) 336-0510 |
| NPI Number | 1114002573 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 7618867367 |
|---|---|
| Medicare Enrollment ID | O20040317000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114002573 | NPI | - | NPPES |
| 5200020 | Medicaid | SD | |
| 1002113 | Other | SD | BLUE CROSS & BLUE SHIELD |
| Provider Name | Kelly Joe Bass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407939929 PECOS PAC ID: 7113912858 Enrollment ID: I20040420000803 |
| Provider Name | Grace A Lafollette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659343143 PECOS PAC ID: 2769383520 Enrollment ID: I20040426001779 |
| Provider Name | Vinod S Bhatara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790758241 PECOS PAC ID: 8224026661 Enrollment ID: I20050811000233 |
| Provider Name | David J Ermer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205881331 PECOS PAC ID: 1052332566 Enrollment ID: I20051213000271 |
| Provider Name | Anthony Vaca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700858248 PECOS PAC ID: 8123038023 Enrollment ID: I20060421000166 |
| Provider Name | Christopher Michael Davidson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730282070 PECOS PAC ID: 4981638780 Enrollment ID: I20070827000563 |
| Provider Name | Shawn D Van Gerpen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548471154 PECOS PAC ID: 8628140902 Enrollment ID: I20080701000458 |
| Provider Name | Andrea Joy Eben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316242365 PECOS PAC ID: 9133391600 Enrollment ID: I20111005000041 |
| Provider Name | Rebecca F Sather Durr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194004747 PECOS PAC ID: 1759553175 Enrollment ID: I20111007000154 |
| Provider Name | Karen S Chesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891076253 PECOS PAC ID: 1557343811 Enrollment ID: I20111123000662 |
| Provider Name | James L Chiu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124347265 PECOS PAC ID: 1951531771 Enrollment ID: I20140923001047 |
| Provider Name | Erika B Detweiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437498698 PECOS PAC ID: 6507088176 Enrollment ID: I20141114001500 |
| Provider Name | Xiaofan Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962631085 PECOS PAC ID: 5890967327 Enrollment ID: I20150930003456 |
| Provider Name | Robert F Nuss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013295682 PECOS PAC ID: 2567692395 Enrollment ID: I20151202001577 |
| Provider Name | Robin A Gaines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417116823 PECOS PAC ID: 1658502364 Enrollment ID: I20180320003251 |
| Provider Name | Brian Grandpre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962434332 PECOS PAC ID: 1052314911 Enrollment ID: I20180727001629 |
| Provider Name | Christine Michelle Lueth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073937678 PECOS PAC ID: 6608124185 Enrollment ID: I20180731000780 |
| Provider Name | Holly D Ahlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366948663 PECOS PAC ID: 8325379548 Enrollment ID: I20191018001286 |
| Provider Name | Afton M Artz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407348113 PECOS PAC ID: 5496182909 Enrollment ID: I20200312000351 |
| Provider Name | Nicole M Robideau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730633496 PECOS PAC ID: 6507295078 Enrollment ID: I20200403001808 |
| Provider Name | Jessica L Grueneich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548703192 PECOS PAC ID: 6103255682 Enrollment ID: I20200403002037 |
| Provider Name | Dustin J Rhoades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821582370 PECOS PAC ID: 7012347875 Enrollment ID: I20200417001747 |
| Provider Name | Trisha Ann Callaghan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932642527 PECOS PAC ID: 8325469075 Enrollment ID: I20200604000768 |
| Provider Name | Veronica E Radigan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740643105 PECOS PAC ID: 2264724715 Enrollment ID: I20200901001765 |
| Provider Name | Kathryn M Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649811076 PECOS PAC ID: 5496162547 Enrollment ID: I20210407002558 |
| Provider Name | Kelsey Lynn Theesfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992348817 PECOS PAC ID: 1456757525 Enrollment ID: I20210915001869 |
| Provider Name | Audrey J Fuks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538807581 PECOS PAC ID: 4486035920 Enrollment ID: I20220715000249 |
Sozo Counseling Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 S Minnesota Ave, Suite 3, Sioux Falls, SD 57105 Phone: 605-339-3378 Fax: 605-339-0510 | |
Abide Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6809 S Minnesota Ave Ste 102, Sioux Falls, SD 57108 Phone: 605-988-8125 Fax: 605-362-5803 | |
Wellnite Medical Group Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5013 S Louise Ave, Sioux Falls, SD 57108 Phone: 877-644-6008 | |
Family Service, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2210 S Brown Pl, Sioux Falls, SD 57105 Phone: 605-336-1974 | |
Lisa Reyes Social Work, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9309 W Kingfisher Dr, Sioux Falls, SD 57107 Phone: 605-610-6307 | |
Avera Mckennan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 W 69th St Ste 3100, Sioux Falls, SD 57108 Phone: 605-504-3522 Fax: 605-322-4345 | |
Avera Medical Group University Psychiatry Associates Sioux Falls Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 W 69th St Ste 1500, Sioux Falls, SD 57108 Phone: 605-322-5700 Fax: 605-322-5704 |