DR. PAUL DOUGLAS KOLSTOE (NPI# 1265576680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265576680 |
| Entity Type | Individual |
| Full Name | DR. PAUL DOUGLAS KOLSTOE |
| Credential | PH.D. |
| Practice Address |
701 W 6th St Grafton ND 58237-1379 |
| Mailing Address |
1004 Darwin Dr Grand Forks ND 58203-2027 |
| Practice Telephone | 7013524444 |
| Practice Fax Number | 7013524570 |
| Mailing Telephone | 7017721331 |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
333 | ND | Behavioral Health & Social Service Providers |
| Street Address |
701 W 6TH ST |
| City | GRAFTON |
| State | ND |
| Zip Code | 58237-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417932021 | Kathleen R Schweitzer | Nurse Practitioner | 701 W 6th St, Grafton, ND 58237-1379 | 2005-12-07 |
| 1073038436 | Jacy Jane Whaley | Occupational Therapist | 701 W 6th St, Grafton, ND 58237-1379 | 2017-08-07 |
| 1447772207 | Sara Gusaas | Occupational Therapist | 701 W 6th St, Grafton, ND 58237-1379 | 2017-07-13 |
| 1790185239 | Abby West | Dietitian, Registered | 701 W 6th St, Grafton, ND 58237-1379 | 2014-09-03 |
| 1144505231 | Heidi Jo Madsen | Psychologist | 701 W 6th St, Grafton, ND 58237-1379 | 2011-10-20 |
| 1770867517 | Alicia Kerian | Speech-Language Pathologist | 701 W 6th St, Grafton, ND 58237-1379 | 2011-09-28 |
| 1699057489 | Gabriel Saul Waters | Behavioral Analyst | 701 W 6th St, Grafton, ND 58237-1379 | 2011-09-16 |
| 1508148396 | Rick Alan Blair | Behavioral Analyst | 701 W 6th St, Grafton, ND 58237-1379 | 2011-09-16 |
| 1801178694 | Dean Allen Pavlicek | Behavioral Analyst | 701 W 6th St, Grafton, ND 58237-1379 | 2011-09-16 |
| 1306134309 | Jaime Rae Mattson | Nurse Practitioner | 701 W 6th St, Grafton, ND 58237-1379 | 2011-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245748649 | Alissa Lynn Parsons | Case Manager/Care Coordinator | Chase Building, 2nd Floor, 516 Cooper Avenue, Grafton, ND 58237 | 2018-01-19 |
| 1508291626 | Lighthouse Optical Inc. | Technician/Technologist | 317 Cooper Ave, Grafton, ND 58237 | 2013-09-09 |
| 1770893455 | Krystal L Wheeler | Pharmacist | 544 Hill Ave, Grafton, ND 58237 | 2010-10-15 |
| 1174846745 | Michael Goldstone | Emergency Medicine | 6645 154th Ave. Ne, Grafton, ND 58237 | 2010-03-10 |
| 1407067994 | Tara L Shirek | Social Worker | 735 Hill Ave, Suite 203, Grafton, ND 58237 | 2007-05-25 |
| 1679635973 | Michael Anthony Bryan | Counselor | 728 Hill Avenue, Grafton, ND 58237 | 2006-12-14 |
| 1669533394 | Valley Ambulance Service Inc | Ambulance | 1317 Griggs Avenue, Grafton, ND 58237 | 2006-12-13 |
| 1932298544 | White Drug Co of Jamestown Inc | Pharmacy | 737 W 12th St, Grafton, ND 58237 | 2006-10-12 |
| 1649363144 | Developmental Center Pharmacy | Nursing Facility/Intermediate Care Facility | 701 West 6th Street, Grafton, ND 58237 | 2006-10-02 |
| 1043224744 | Upper Valley Special Education | Physical Therapist | 516 Cooper Ave, Grafton, ND 58237 | 2006-07-28 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376944892 | Michael Russo | Psychologist | 2500 Avon Belden Rd, Grafton, OH 44044-9802 | 2014-09-16 |
| 1144505231 | Heidi Jo Madsen | Psychologist | 701 W 6th St, Grafton, ND 58237-1379 | 2011-10-20 |
| 1740347608 | Brian William Bradley | Psychologist | 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 | 2007-01-02 |
| 1427152529 | Glenn D Shean | Psychologist | 6515 George Washington Mem Hwy, Ste 100, Grafton, VA 23692-2182 | 2006-09-11 |
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|---|---|---|---|---|
| 1013542182 | Nicola Ashton Herting | Psychologist | 100 4th St S Ste 302, Fargo, ND 58103-1937 | 2020-03-09 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1922650753 | Kelly Reiner | Psychologist | 10 S River Rd, Fort Yates, ND 58538 | 2019-07-11 |
| 1023598083 | Devils Lake Psychological Services, Pllc | Psychologist | 224 4th St Nw Ste 7, Devils Lake, ND 58301-2960 | 2018-08-20 |
| 1740789684 | Jocelyn Soderstrom | Psychologist | 211 4th St Ne Ste 4, Devils Lake, ND 58301-2479 | 2018-02-06 |
| 1023550951 | Fiana England | Psychologist | 1401 13th Ave E., West Fargo, ND 58078-8029 | 2016-11-09 |
| 1932542180 | Lisa Gustafson | Psychologist | 200 E Main Ave, Suite 202, Bismarck, ND 58501-3857 | 2013-04-08 |
| 1669743977 | Scott Ressler | Psychologist | 3678 Taylor St S, Fargo, ND 58104-7588 | 2012-01-18 |
| 1992093660 | Nichole Parkhouse | Psychologist | 2100 S Columbia Rd Ste 202, Grand Forks, ND 58201-5895 | 2011-07-15 |
| 1679873525 | Jessica Ann Hurdelbrink Jones | Psychologist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2010-10-26 |
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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.