DR. LEA BERENTSON (NPI# 1295156495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295156495 |
| Entity Type | Individual |
| Full Name | DR. LEA BERENTSON |
| Credential | PSYD |
| Practice Address |
900 E Broadway Ave Bismarck ND 58501-4520 |
| Mailing Address |
Po Box 997 Bismarck ND 58502-0997 |
| Practice Telephone | 7015307300 |
| Practice Fax Number | 7015307319 |
| Mailing Telephone | 7015307300 |
| Mailing Fax Number | 7015307319 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 487 | ND | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
487 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1453145 | 05 |
| Street Address |
900 E BROADWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087000 | Kym L Chandler | Neurological Surgery | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2005-07-19 |
| 1538769633 | Brenton Michael Green | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-10-28 |
| 1679186852 | Carly Marie Meyer | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-08-26 |
| 1164030169 | Heather Brooke Flaa | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-16 |
| 1699393454 | Alexis Schulz | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-08 |
| 1457971012 | Byul You | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-23 |
| 1962021618 | Amanda Mcglasson | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-13 |
| 1336772839 | Deanne Hice | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-02-13 |
| 1538707898 | Jenna Etzold | Psychologist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-12-18 |
| 1548811169 | Sarah Skeie | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932542180 | Lisa Gustafson | Psychologist | 200 E Main Ave, Suite 202, Bismarck, ND 58501-3857 | 2013-04-08 |
| 1316149792 | Matthew Scott Bennett | Psychologist | 1701 Burnt Boat Dr Fl 2, Bismarck, ND 58503-0812 | 2007-06-05 |
| 1356554000 | Todd Wahl | Psychologist | 4719 Shelburne St Ste 11, Bismarck, ND 58503-5677 | 2007-05-08 |
| 1669572574 | Karli A. Ghering | Psychologist | 107 W Main Ave, Suite 225, Bismarck, ND 58501-3890 | 2006-09-22 |
| 1174586697 | Richard E Arndorfer | Psychologist | 1800 E Interstate Ave Ste B, Bismarck, ND 58503-1566 | 2006-04-07 |
| 1912314337 | Julijana Nevland | Psychologist | 309 N Mandan St, Suite #1, Bismarck, ND 58501-3886 | 2014-07-17 |
| 1942553466 | Brighter Day Health LLC | Psychologist | 1850 Billings Dr, Bismarck, ND 58504-7251 | 2012-10-22 |
| 1245598226 | Nova Marie Griffith | Psychologist | 515 1/2 E Broadway Ave, Suite 106, Bismarck, ND 58501-4408 | 2012-04-27 |
| 1265623177 | Sara Horner | Psychologist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2007-08-06 |
| 1790803021 | Zanne Chambers | Psychologist | 1701 Burnt Boat Dr, Second Floor, Bismarck, ND 58503-0812 | 2007-03-26 |
| Find all providers in BISMARCK | ||||
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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.