Organization
BLACK HILLS PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON JEAN MAXWELL PSY.D (OWNER, AUTHORIZED OFFICIAL)
(513) 304-4750
Entity
Organization
Contact information
Practice address
115 N 7TH ST STE 6, SPEARFISH, SD 57783-2710
(605) 645-0100
(605) 717-1009
Mailing address
115 N 7TH ST STE 6, SPEARFISH, SD 57783-2710
(605) 645-0100
(605) 717-1009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
SD
101YP2500X
Professional Counselor
000000
SD
103TC0700X
Clinical Psychologist
Primary
0000
SD
103TC1900X
Counseling Psychologist
—
SD
103TC2200X
Clinical Child & Adolescent Psychologist
0000
SD
1041C0700X
Clinical Social Worker
0000
SD
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001655
—
SD
Enumeration date
12/13/2010
Last updated
01/20/2026
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