PSYCHOLOGICAL SERVICES, P.C. (NPI# 1164624458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164624458 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL SERVICES, P.C. |
| Practice Address |
600 22nd Ave Nw Northland Professional Building Minot ND 58703-0986 |
| Practice Telephone | 7018529113 |
| Practice Fax Number | 7018380779 |
| Mailing Telephone | 7018529113 |
| Mailing Fax Number | 7018380779 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2009-02-27 |
| Authorized Official Name | DR. STEPHAN PODRYGULA (PRESIDENT) |
| Authorized Official Telephone | 7018529113 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS OF ND | 5241 | 01 |
| ND | 16946 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679522817 | Psychological Services, P.C. | Psychologist | 613 Walnut St, Boulder, CO 80302-5031 | 2006-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PSYCHOLOGICAL SERVICES, P.C. | 613 Walnut St, Boulder, CO 80302 |
| Street Address |
600 22ND AVE NW NORTHLAND PROFESSIONAL BUILDING |
| City | MINOT |
| State | ND |
| Zip Code | 58703-0986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821527 | Stephan Podrygula | Psychologist | 600 22nd Ave Nw, Northland Professional Building, Minot, ND 58703-0986 | 2005-09-13 |
| 1427309707 | Modern Dental LLC | Clinic/Center | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2012-09-26 |
| 1750636932 | Heather Kippen | Social Worker | 600 22nd Ave Nw, Ste U2, Minot, ND 58703-0986 | 2012-07-13 |
| 1639430275 | Christian D Meland | Dentist | 600 22nd Ave Nw, Suite 1, Minot, ND 58703-0986 | 2012-05-30 |
| 1023303674 | John Chase | Dentist | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2011-06-11 |
| 1114119989 | Dakota Family Services | Counselor | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2007-08-15 |
| 1962573394 | Pamela Sue Walls | Clinical Nurse Specialist | 600 22nd Ave Nw, Suite U2, Minot, ND 58703 | 2006-11-09 |
| 1306926258 | David W Klein | Dentist | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2006-10-16 |
| 1134215387 | Susan E Stein | Social Worker | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2006-10-05 |
| 1912093972 | Darla F Deslauriers | Counselor | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
| 1720527120 | North Hill Pharmacy LLC | Pharmacy | 2111 Landmark Cir Nw Ste C, Minot, ND 58703 | 2017-02-17 |
| 1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
| 1851768501 | Apex Chiropractic | Chiropractor | 1500 21st Ave Nw, Suite 105, Minot, ND 58703 | 2015-08-28 |
| 1033404546 | Kayla R Lambrecht | Physical Therapist | 2111 Landmark Cir Nw # B, Minot, ND 58703 | 2011-06-13 |
| 1265684062 | Minot Dentistry PC | Dentist | 600-22nd Ave Nw, Minot, ND 58703 | 2008-10-13 |
| 1073529350 | Orvin G. Lommen | Social Worker | #9 Cortland Drive, Minot, ND 58703 | 2006-07-31 |
| 1306872478 | James Christopher Everett | Chiropractor | 2217 16th Street Nw, Minot, ND 58703 | 2006-06-23 |
| 1760917975 | Derek Cluff | Dentist | 194 Missle Ave, Minot Afb, ND 58703 | 2017-04-25 |
| 1750701280 | Mary J Solberg | Social Worker | 1705 4th Ave Nw, Minot, ND 58703 | 2014-04-23 |
| Find all providers in zip 58703 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588694392 | The Village Family Service Centere | Clinic/Center | 20 1st St Sw, Minot, ND 58701-3851 | 2006-07-04 |
| 1477592533 | North Central Human Service Center | Clinic/Center | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2006-06-05 |
| 1427618446 | Heather Kippen, Lcsw, Pllc | Clinic/Center | 600 22nd Ave Nw Ste U2, Minot, ND 58703-0986 | 2019-06-20 |
| 1336694405 | Leah Hanson, Pmhnp, Bc, Pllc | Clinic/Center | 24 Main St N, Suite I, Minot, ND 58703-3104 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1609492016 | Igniting Your Change | Clinic/Center | 1222 4th Ave N Apt 318, Fargo, ND 58102-4374 | 2020-06-22 |
| 1922636323 | Peace of Mind Counseling, Pllc | Clinic/Center | 8351 Palomino Dr, Bismarck, ND 58504-4044 | 2020-03-31 |
| 1093295859 | Healing Hearts Therapy, LLC | Clinic/Center | 511 2nd St W, Williston, ND 58801-5907 | 2018-08-20 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1225414956 | 30:17 Counseling | Clinic/Center | 1751 Main Ave E, West Fargo, ND 58078-2203 | 2015-08-04 |
| 1043451370 | Sacajawea Substance Abuse Counseling and Drug Testing Center | Clinic/Center | 112 3rd Street West, Suite 301, Dickinson, ND 58601 | 2009-03-17 |
| 1265658967 | Center for Self-growth & Renewal, PC | Clinic/Center | 1551 28th Ave S, Suite C, Grand Forks, ND 58201-6782 | 2007-04-18 |
| 1205932233 | Heart River Alcohol and Drug Abuse Services Inc. | Clinic/Center | 24 W Villard St Ste B, Dickinson, ND 58601-5152 | 2006-09-16 |
| 1770524613 | Northwest Human Service Center | Clinic/Center | 316 2nd Ave W, Williston, ND 58801-5218 | 2006-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.