Bridgewater Behavioral Health, LLC
NPI 1588048201ActiveOrganization· Psychologist· Rapid City, SD
Psychologist in Rapid City, South Dakota, registered in NPPES in July 2015. The authorized official on file is Genni L. Goschke, PSY.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588048201 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2015 |
| Last updated in NPPES | Jul 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 479 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SD) |
|---|
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