LAC CASTOR WELLNESS, LLC
NPI 1962858985
Nurse Practitioner - Psychiatric/Mental Health in Rapid City, SD

Active since May 09, 2016
3213 W MAIN ST, RAPID CITY, SD 57702(605) 415-1616 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2017, May 9, 2016 (2 updates tracked since 2016).

About Lac Castor Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAC CASTOR WELLNESS, LLC (NPI 1962858985) is a healthcare organization registered as a psychiatric/mental health in Rapid City, South Dakota and active in the NPI registry since May 2016. The organization lists Melinda Mccusker, Owner/founder, as its authorized official.

NPPES Registry Identity

NPI1962858985
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAC CASTOR WELLNESS, LLC
Location Address3213 W MAIN STRapid City, SD 57702-2314
Mailing Address3213 W Main StRapid City, SD 57702-2314 · (605) 415-1616
Organization SubpartNo
Authorized OfficialMelinda MccuskerOwner/founder · (605) 415-1616
Enumeration DateMay 9, 2016
Last NPPES UpdateMarch 20, 20172 updates tracked since enumeration
NPI 1962858985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in SD · CP001043
3213 W MAIN ST, Rapid City, SD 57702

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lac Castor Wellness, LLC's NPI number?

The NPI number for Lac Castor Wellness, LLC is 1962858985. It was assigned to this organization in the NPPES registry on May 9, 2016.

Where is Lac Castor Wellness, LLC located?

Lac Castor Wellness, LLC is located at 3213 W Main St, Rapid City, SD 57702. The listed phone number is (605) 415-1616.

What is Lac Castor Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lac Castor Wellness, LLC was last updated on March 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.