BLACK HILLS PSYCHOLOGY, LLC
NPI 1811290992
Psychologist - Clinical in Spearfish, SD
NPI Status: Active since December 13, 2010
Contact Information
115 N 7TH ST STE 6
SPEARFISH, SD
ZIP 57783
Phone: (605) 645-0100
Fax: (605) 717-1009
- Organization
- Psychologist
- Clinical
- Accepts Insurance
- CLIA Number: 43D2089513
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-26-2027
About BLACK HILLS PSYCHOLOGY, LLC
This page provides the complete NPI Profile along with additional information for Black Hills Psychology, Llc, a provider established in Spearfish, South Dakota operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1811290992 assigned on December 2010. The practitioner's primary taxonomy code is 103TC0700X with license number 0000 (SD). The provider is registered as an organization and their NPI record was last updated January 2026. Black Hills Psychology, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Shannon Jean Maxwell Psy.d (Owner, Authorized Official)
- NPI
- 1811290992
- Provider Name
- BLACK HILLS PSYCHOLOGY, LLC
- Entity Type
- Organization
- Location Address
- 115 N 7TH ST STE 6 SPEARFISH, SD 57783
- Location Phone
- (605) 645-0100
- Location Fax
- (605) 717-1009
- Mailing Address
- 115 N 7TH ST STE 6 SPEARFISH, SD 57783
- Mailing Phone
- (605) 645-0100
- Mailing Fax
- (605) 717-1009
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2010
- Last Update Date
- 01-20-2026
- Code Navigator
A clinical psychologist like Black Hills Psychology, Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Secondary Locations
- 2525 W Main St Ste 210
Rapid City, SD 57702
(605) 645-0100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0000
- License State
- SD
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | (SD) |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 000000 (SD) |
| 3 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | (SD) |
| 4 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 0000 (SD) |
| 5 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 0000 (SD) |
| 6 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 7 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 8 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (SD) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- ConnectPlus $0 Gold - PPO
- ConnectPlus $0 Silver - PPO
- ConnectPlus $10,600 HSA Eligible HDHP - PPO
- ConnectPlus $1800 - PPO
- ConnectPlus $4500 - PPO
- ConnectPlus $6500 HSA Eligible HDHP - PPO
- ConnectPlus $7500 HSA Eligible HDHP - PPO
- ConnectPlus MyWeighForward $2000 - PPO
- ConnectPlus MyWeighForward $6000 - PPO
- ConnectPlus Standard $2000 - PPO
- ConnectPlus Standard $6000 - PPO
- ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2001655 | MEDICAID (05) | SD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D2089513
- Facility Type
- Physician Office
- Certificate Effective Date
- May 27, 2025
- Certificate Expiration Date
- May 26, 2027
- Laboratory Director
- VASSILIA D. YOUNG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Black Hills Psychology, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811290992, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
SPEARFISH, SD 57783
SPEARFISH, SD 57783
SPEARFISH, SD 57783
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811290992, enumerated as an "organization" on December 13, 2010.
The provider is located at 115 N 7TH ST STE 6 SPEARFISH, SD 57783 and the phone number is (605) 645-0100.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Avera Health Plans, Sanford Health Plan, Medicare. Please consult your insurance carrier or call the provider to verify.
