Black Hills Psychology, LLC
NPI 1811290992ActiveOrganization· Psychologist, Clinical· Spearfish, SD
Psychologist, Clinical in Spearfish, South Dakota, registered in NPPES in December 2010. The authorized official on file is Shannon Jean Maxwell, PSY.D, Owner, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811290992 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2010 |
| Last updated in NPPES | Jan 20, 2026 |
| Certified by provider | Jan 20, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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