PAUL B REVLAND


Address: 1720 University Dr S, Fargo, ND 58103-4940
Phone: 7012344171

PAUL B REVLAND (NPI# 1629265814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629265814
Entity Type Individual
Full Name PAUL B REVLAND
Credential PHD
Practice Address 1720 University Dr S
Fargo
ND 58103-4940
Practice Telephone 7012344171
Practice Fax Number 7014615649
Mailing Telephone 7012344171
Mailing Fax Number 7014615649
Enumeration Date 2007-10-02
Last Update Date 2008-03-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0814X Psychologist
Specialization: Psychoanalysis
401 ND Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 14438 05

Office Location

Street Address 1720 UNIVERSITY DR S
City FARGO
State ND
Zip Code 58103-4940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609852136 Scci Hospitals of America Inc. Long Term Care Hospital 1720 University Dr S, Fargo, ND 58103-4940 2005-12-16
1154921914 Ailsa Anne Falck Speech-Language Pathologist 1720 University Dr S, Fargo, ND 58103-4940 2020-10-29
1225635634 Sanford Medical Center Fargo Pharmacy 1720 University Dr S, Fargo, ND 58103-4940 2020-10-08
1821607169 Catrina Olson Armstrong Speech-Language Pathologist 1720 University Dr S, Fargo, ND 58103-4940 2020-07-22
1730726662 Jessica A Olson Occupational Therapist 1720 University Dr S, Fargo, ND 58103-4940 2019-12-10
1033763065 Andrea Sailer Speech-Language Pathologist 1720 University Dr S, Fargo, ND 58103-4940 2019-07-29
1821657388 Amanda Beth Reber Nurse Practitioner 1720 University Dr S, Fargo, ND 58103-4940 2019-06-10
1881167815 Andrea Sluke Occupational Therapist 1720 University Dr S, Fargo, ND 58103-4940 2019-01-02
1972081982 Michaela Johnson Occupational Therapist 1720 University Dr S, Fargo, ND 58103-4940 2018-08-01
1518444363 Lori K Blomquist Counselor 1720 University Dr S, Fargo, ND 58103-4940 2018-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
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Taxonomy Information

Taxonomy Code 103TP0814X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Psychoanalysis

Taxonomy Definition

(1) A practitioner of psychoanalysis: methods of eliciting from patients their past emotional experiences and their role in influencing their current mental life, in order to discover the conflicts and mechanisms by which their pathologic mental state has been produced and to furnish hints for psychotherapeutic procedures, the method employs free association, recall and interpretation of dreams and interpretation of transference and resistance phenomena; (2) An individual who is educated with a doctor’s degree in psychoanalysis or psychology, trained at an established psychoanalytic institute, and practices or adheres to the principles of psychoanalysis. Psychoanalysis is a form of psychotherapy and a system of investigation for determining and understanding mental processes, which was originally conceived by Sigmund Freud. Psychoanalysis involves the analysis and interpretation of dreams, resistances, and transferences, and uses free association and catharsis. Clinical practice requires licensure.
Notes: Sources: (1) Dorlands Illustrated Medical Dictionary, 28th Edition, W.B. Saunders Company: Philadelphia, 1994, p. 1382; (2)American Psychological Association, Washington, DC, 1997, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245494764 Stephen A Kisslinger Psychologist 100 4th St S, Fargo, ND 58103-1929 2008-07-14
1972525525 Ann K Sandgren Psychologist 820 4th St N, Fargo, ND 58122-0001 2006-07-24
1952323529 David John Tupa Psychologist 100 4th St S, Fargo, ND 58103-1929 2006-07-24
1760403984 Pamela Marie Samson Psychologist 1720 University Dr S, Fargo, ND 58103-4940 2006-07-22
1093736217 Lorraine A Swan-kremeier Psychologist 100 4th St S, Fargo, ND 58103-1929 2006-07-22
1962423202 Stephen A Wonderlich Psychologist 100 4th St S, Fargo, ND 58103-1929 2006-07-22
1689695926 Margo R Norton Psychologist 737 Broadway N, Fargo, ND 58122-0001 2006-07-22
1114948452 Jon C Ulven Psychologist 1720 University Dr S, Fargo, ND 58103-4940 2006-07-22
1154349884 Kenneth E Christianson Psychologist 737 Broadway N, Fargo, ND 58122-0001 2006-07-18
1023035797 Ryan D Jagim Psychologist 100 4th St S, Fargo, ND 58103-1929 2006-07-17
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City FARGO
Zip Code 58103

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Dataset Information

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.

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