Healthcare Provider Details

I. General information

NPI: 1609956283
Provider Name (Legal Business Name): Carlsen Psychiatric Care, LLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 10/16/2018
Certification Date: Dr. Jeanne Carol Carlsen owns Carlsen Psychiatric Care and practices at Carlsen Psychiatric Care (CPC) and CPC at Family Service, Inc. Dr. Carlsen can be reached at dr.jccarlsen@gmail.com and 605-521-0921. For scheduling call 605-336-1974. Website coming soon for online scheduling. Dr. Carlsen's credentials are: DNP, MSN, RN, LMFT, CNS, CNP, PMHCNS-BC, PMHNP-BC. Dr. Carlsen is a fully licensed prescriber and practices independently.
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 S BROWN PL
SIOUX FALLS SD
57105-6582
US

IV. Provider business mailing address

2210 S BROWN PL
SIOUX FALLS SD
57105-6582
US

V. Phone/Fax

Practice location:
  • Phone: 605-336-1974
  • Fax: 605-336-9031
Mailing address:
  • Phone: 605-336-1974
  • Fax: 605-336-9031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
Taxonomy363LP0808X
License NumberSD-CNP CP001455
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
Taxonomy364SP0808X
License NumberSD-CNS CS004018
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code364SP0807X
Taxonomy106H00000X
License NumberLMFT1110
License Number StateSD
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
Taxonomy163W00000X
License NumberSD-RN R011625
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: