BISMARCK PSYCHOLOGICAL ASSOCIATES, PLLC


Address: 107 W. Main Ave., Suite 225, Bismarck, ND 58501
Phone: 7017514122

BISMARCK PSYCHOLOGICAL ASSOCIATES, PLLC (NPI# 1144670019) 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) 1144670019
Entity Type Organization
Organization Name BISMARCK PSYCHOLOGICAL ASSOCIATES, PLLC
Practice Address 107 W. Main Ave.
Suite 225
Bismarck
ND 58501
Practice Telephone 7017514122
Practice Fax Number 7017511728
Mailing Telephone 7017514122
Mailing Fax Number 7017511728
Enumeration Date 2016-06-21
Last Update Date 2020-03-09
Authorized Official Name DR. CLAUDETTE MARIE RENO (CLINICAL PSYCHOLOGIST/CO-OWNER)
Authorized Official Telephone 7017514122
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 107 W. MAIN AVE.
SUITE 225
City BISMARCK
State ND
Zip Code 58501

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NPI Name Taxonomy Address Enumeration
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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
1891149472 Jill Marie Place Massage Therapist 425 South 7th St, Southridge Chiropractic, Bismarck, ND 58501 2016-04-20
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760993588 Henry Carl Riegler Psychologist 1205 N Mandan St, Bismarck, ND 58501-2609 2017-10-19
1316272503 Alana S Semchenko Psychologist 515 1/2 E Broadway Ave, Ste 106, Bismarck, ND 58501-4408 2009-10-06
1689812810 James P Link Psychologist 1424 W Century Ave Ste 207, Bismarck, ND 58503-0917 2009-01-26
1831243088 Theressa J Hanson Psychologist 1701 Burnt Boat Dr, Second Floor, Bismarck, ND 58503-0812 2007-01-23
1396857686 Claudette Marie Reno Psychologist 107 W. Main Ave. Suite 225, Bismarck Psychological Associates, Pllc, Bismarck, ND 58501 2006-08-31
1538707898 Jenna Etzold Psychologist 900 E Broadway Ave, Bismarck, ND 58501-4520 2019-12-18
1508224254 Teresa Magelky Psychologist 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 2016-02-09
1376947887 Tara Feil Psychologist 900 E Broadway Ave, Bismarck, ND 58501-4520 2014-10-13
1295156495 Lea Berentson Psychologist 900 E Broadway Ave, Bismarck, ND 58501-4520 2013-12-16
1174890016 Decoteau Trauma-informed Care & Practice, Pllc Psychologist 515 1/2 E Broadway Ave, Suite. 106, Bismarck, ND 58501-4408 2011-11-21
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City BISMARCK
Zip Code 58501

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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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