MEDICARE: DR. ROBIN NICOLE WISNIEWSKI PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	469	SD

General Provider Information

NPI Number	:	1083656409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN NICOLE WISNIEWSKI PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 387
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57709-0387
Country	:	US
Telephone Number	:	605-721-8822
Fax Number	:

Provider Business Practice Location Address
First Line	:	636 SAINT ANNE ST
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-4694
Country	:	US
Telephone Number	:	605-721-8822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	06/24/2008

Similar Medicare Providers

1669949947 — MEGAN CHRISTINE BURGARD CNP
Practice Location Address:

636 SAINT ANNE ST
RAPID CITY, SD
57701-4694

Practice Phone: 605-348-8000
Practice Fax: 605-716-0248

1598706749 — MR. DAVID JETSON LPC - MH
Practice Location Address:

636 SAINT ANNE ST , SUITE 202
RAPID CITY, SD
57701-4694

Practice Phone: 605-718-5500
Practice Fax: 605-716-9944

1952344699 — SANDRA L MILLER CNP
Practice Location Address:

636 SAINT ANNE ST
RAPID CITY, SD
57701-4694

Practice Phone: 605-348-8000
Practice Fax: 605-348-4315

1801839428 — THORN-JETSON CORPORATION
Practice Location Address:

636 SAINT ANNE ST , SUITE 201
RAPID CITY, SD
57701-4694

Practice Phone: 605-716-9944
Practice Fax: 605-716-9944

1194756833 — MANLOVE PSYCHIATRIC GROUP, P.C.
Practice Location Address:

636 SAINT ANNE ST , STE. 100
RAPID CITY, SD
57701-4694

Practice Phone: 605-348-8000
Practice Fax: 605-348-4315

1619021672 — STEPHEN PAUL MANLOVE MD
Practice Location Address:

636 SAINT ANNE ST , SUITE 100
RAPID CITY, SD
57701-4694

Practice Phone: 605-348-8000
Practice Fax: 605-348-4315

Directions to “ DR. ROBIN NICOLE WISNIEWSKI PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.