Avera Mckennan
Avera Mckennan is a healthcare organization registered as Psychiatric Hospital Unit in Sioux Falls, SD, holding Type 2 (organization) NPI 1164445250 since 2006. The authorized official on file is Ronald Place, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164445250 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 4400 W 69TH ST, Sioux Falls, SD, 57108 |
| Phone | 6053228000 |
| Fax | 6053224009 |
| Enumeration date | 2006-07-26 |
| Last updated in NPPES | 2023-10-04 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | President/Ceo |
| Phone | 6053227903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 273R00000X | Psychiatric Hospital Unit | Primary | 10563 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8S016 | Other | SD | BLUE CROSS OF SD |
| 0230190 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1164445250 Taxonomy: 273R00000X (Psychiatric Hospital Unit) Address: 4400 W 69TH ST, Sioux Falls, SD, 57108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639142185 | Nancy Wilson | Individual | Psychiatry Physician | Sioux Falls, SD |
| 1548233091 | Tamara Vik | Individual | Child & Adolescent Psychiatry Physician | Sioux Falls, SD |
| 1184697633 | Clifford Mcnaughton | Individual | Psychiatry Physician | Sioux Falls, SD |
| 1639141179 | Scott Schneider | Individual | Child & Adolescent Psychiatry Physician | Sioux Falls, SD |
| 1700858248 | Anthony Vaca | Individual | Psychiatry Physician | Sioux Falls, SD |
| 1255303707 | Laura Withorne-Maloney | Individual | Family Nurse Practitioner | Sioux Falls, SD |
| 1871565333 | Lisa Amiotte | Individual | Psychiatry Physician | Sioux Falls, SD |
| 1053383539 | Timothy Soundy | Individual | Child & Adolescent Psychiatry Physician | Sioux Falls, SD |
Verify this record
Cross-check NPI 1164445250 against the authoritative CMS record: view Avera Mckennan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-04.