AVERA MEDICAL GROUP MIDWEST PSYCHIATRIC MEDICINE SIOUX FALLS – NPI #1407829781
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

AVERA MEDICAL GROUP MIDWEST PSYCHIATRIC MEDICINE SIOUX FALLS is a psychiatry & neurologist located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1407829781 to AVERA MEDICAL GROUP MIDWEST PSYCHIATRIC MEDICINE SIOUX FALLS on February 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP MIDWEST PSYCHIATRIC MEDICINE SIOUX FALLS” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 8 years ago on Oct 24, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MEDICAL GROUP MIDWEST PSYCHIATRIC MEDICINE SIOUX FALLS below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1407829781
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Doing Business As (dba): AVERA MEDICAL GROUP MIDWEST PSYCHIATRIC MEDICINE SIOUX FALLS
Primary location
4400 W 69TH ST
STE 500
SIOUX FALLS, SD 57108
Phone: (605) 322-7580 Fax: (605) 322-7579
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-7510 Fax: (605) 322-6475
Organization Subpart
No
Authorized Official
DAVID FLICEK
CEO/PRESIDENT
Phone: (605) 322-8000
Updated
Identifiers

Identifiers for AVERA MEDICAL GROUP MIDWEST PSYCHIATRIC MEDICINE SIOUX FALLS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBSSD0006118
OTHERBLUE PLUSMN3T021SC
OTHERDEPT OF LABORSD370624200
OTHERHEALTHPARTNERSSD65742
OTHERPRIMEWESTSD92411422904
MEDICAIDIA0211607
MEDICAIDMN293011100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.