DR. CAITLIN POLLESTAD (NPI# 1437662640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437662640 |
| Entity Type | Individual |
| Full Name | DR. CAITLIN POLLESTAD |
| Other Name | DR. CAITLIN MASSOP |
| Credential | PH.D, LP |
| Practice Address |
1301 8th St S Moorhead MN 56560-3604 |
| Practice Telephone | 7012343100 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP6181 | MN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 545 | ND | Behavioral Health & Social Service Providers |
| Street Address |
1301 8TH ST S |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609855873 | Amie C Haugo | Family Medicine | 1301 8th St S, Moorhead, MN 56560-3604 | 2006-01-16 |
| 1326655689 | Samir Golos | Nurse Practitioner | 1301 8th St S, Moorhead, MN 56560-3604 | 2020-09-30 |
| 1497390298 | Keith Francis Donohue | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2019-11-15 |
| 1336508274 | Amanda Storey | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2016-02-21 |
| 1285005991 | Brianna J Crawford | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-10-08 |
| 1376925958 | Yu-ting Wung | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-06-19 |
| 1588044432 | Alicia Lynn Elliott | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-06-05 |
| 1609156934 | Sanford Medical Center Fargo | Family Medicine | 1301 8th St S, Moorhead, MN 56560-3604 | 2011-08-18 |
| 1093005639 | Steven John Meek | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2011-04-16 |
| 1942599048 | Jonathan Charles Olivas | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2011-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932540127 | Minnesota State University Moorhead | Psychologist | 113 Lommen, 1104 7th Ave S, Moorhead, MN 56563-1013 | 2013-07-16 |
| 1508804543 | Rita Lall | Psychologist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2006-06-03 |
| 1922088442 | Linda Hamann | Psychologist | 403 Center Ave, Ste 410, Moorhead, MN 56560-1975 | 2006-01-19 |
| 1497390298 | Keith Francis Donohue | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2019-11-15 |
| 1811481476 | Rachel Hinant | Psychologist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2018-06-18 |
| 1336508274 | Amanda Storey | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2016-02-21 |
| 1285005991 | Brianna J Crawford | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-10-08 |
| 1275838781 | Red River Counseling, Pllc | Psychologist | 403 Center Ave, Suite 410, Moorhead, MN 56560-1975 | 2011-01-13 |
| 1164686796 | Sara L Jensen Fritz | Psychologist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2008-07-14 |
| 1194913798 | Linda R Hamann | Psychologist | 403 Center Ave, Ste 410, Moorhead, MN 56560-1975 | 2007-10-09 |
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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.