Provider Demographics
NPI:1902886658
Name:SIMPSON, JAMES (EDD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 MOUNT RUSHMORE ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701
Mailing Address - Country:US
Mailing Address - Phone:605-388-0991
Mailing Address - Fax:605-388-8003
Practice Address - Street 1:1107 MOUNT RUSHMORE ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701
Practice Address - Country:US
Practice Address - Phone:605-388-0991
Practice Address - Fax:605-388-8003
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDMH2002101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDNP6337OtherDAKOTACARE