MEDICARE: MANLOVE PSYCHIATRIC GROUP, P.C.

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	174400000X	Specialist	1887	SD
2	174400000X	Specialist	0244	SD
3	174400000X	Specialist	0368	SD
4	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194756833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANLOVE PSYCHIATRIC GROUP, P.C.

Provider Business Mailing Address
First Line	:	636 SAINT ANNE ST
Second Line	:	STE. 100
City	:	RAPID CITY
State	:	SD
Zip	:	57701-4694
Country	:	US
Telephone Number	:	605-348-8000
Fax Number	:	605-348-4315

Provider Business Practice Location Address
First Line	:	636 SAINT ANNE ST
Second Line	:	STE. 100
City	:	RAPID CITY
State	:	SD
Zip	:	57701-4694
Country	:	US
Telephone Number	:	605-348-8000
Fax Number	:	605-348-4315

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. STEPHEN P MANLOVE
Credential	:	MD
Telephone Number	:	605-348-8000

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/10/2025

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Directions to “MANLOVE PSYCHIATRIC GROUP, P.C. ” Practice Location

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