SAMANTHA LYNN BEAUCHMAN (NPI# 1922387950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922387950 |
| Entity Type | Individual |
| Full Name | SAMANTHA LYNN BEAUCHMAN |
| Practice Address |
300 2nd Ave Ne Jamestown ND 58401-3373 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7012534000 |
| Practice Fax Number | 7019526019 |
| Mailing Telephone | 7012342119 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 497 | ND | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | LP5687 | MN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1400 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 17563 | 05 | |
| MN | 1922387950 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1245 Washington Ave, Detroit Lakes, MN 565013905 | 2188462000 |
| Street Address |
300 2ND AVE NE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457752 | Paula M Marker | Physical Therapist | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2006-06-18 |
| 1508489873 | Andrea Christine Boerger | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2020-05-21 |
| 1871079541 | Deanna Joyce Weiser | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2018-07-16 |
| 1568968394 | Rebecca Anne Kuss | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2018-04-02 |
| 1245742337 | Brady Wendell Anderson | Physician Assistant | 300 2nd Ave Ne, Jamestown, ND 58401 | 2017-10-29 |
| 1275984635 | Carla Aberle | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-06-28 |
| 1932557360 | Tina Bear | Registered Nurse | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-05-26 |
| 1316316821 | Joleen Sprenger | Counselor | 300 2nd Ave Ne, #221, Jamestown, ND 58401-3373 | 2015-09-15 |
| 1679956635 | Teresa Rittenbach | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2015-07-08 |
| 1669855151 | Taryn Nicole Boom | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| 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 |
|---|---|---|---|---|
| 1386985794 | Minou Alexander | Psychologist | 5100 O'byrner Ferry Rd., Sierra Conservation Center, Jamestown, CA 95327 | 2013-03-11 |
| 1003970054 | Sean William Seibert | Psychologist | 515 Pine Street, Jamestown, NY 14701-5315 | 2006-12-21 |
| 1972694248 | Kelly Burkhouse | Psychologist | 500 Pine St Ste 3, Jamestown, NY 14701-5331 | 2006-09-28 |
| 1417977463 | John D Collins | Psychologist | 302 2nd Avenue Nw, Jamestown, ND 58401 | 2006-07-20 |
| 1508822057 | Ann S Zartler | Psychologist | 30 Juniper Cir, Jamestown, RI 02835-2919 | 2006-04-25 |
| 1942291968 | Frederick Verdonik | Psychologist | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2005-10-31 |
| 1558913269 | Heather Mcconnell | Psychologist | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2019-07-12 |
| 1467705822 | Ann E Engel | Psychologist | 2605 Circle Dr, Jamestown, ND 58401 | 2012-10-23 |
| 1558407916 | Lynne E. Sullivan | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2007-01-30 |
| 1326184706 | Joseph Belanger | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2007-01-30 |
| Find all providers in JAMESTOWN | ||||
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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.