CENTER FOR PSYCHOLOGICAL AND EDUCATIONAL ASSESSMENT (NPI# 1326242702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326242702 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PSYCHOLOGICAL AND EDUCATIONAL ASSESSMENT |
| Practice Address |
290 Centennial Dr Stop 7108 210 Montgomery Hall Grand Forks ND 58202-6063 |
| Practice Telephone | 7017773260 |
| Practice Fax Number | 7017773454 |
| Mailing Telephone | 7017773260 |
| Mailing Fax Number | 7017773454 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS VICTOR PETROS (PROFESSOR OF PSYCHOLOGY) |
| Authorized Official Telephone | 7017773260 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 231 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BC BS OF ND | 14870 | 01 |
| Street Address |
290 CENTENNIAL DR STOP 7108 210 MONTGOMERY HALL |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58202-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538541958 | Matthew Cziep | Surgery | 1301 N Columbia Rd Rm E270, Grand Forks, ND 58202 | 2015-06-22 |
| 1306836937 | Elizabeth Ann Tyree | Physician Assistant | 5th Avenue North and Harvard Streets, Grand Forks, ND 58202 | 2005-10-25 |
| 1962054171 | Zachery Tyler Staskywicz | Surgery | University of North Dakota Smhs Department of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202 | 2019-07-09 |
| 1013390129 | Seye Adekeye | Surgery | 501 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202 | 2015-07-07 |
| 1477894285 | Eva Michelle Beeker | Counselor | Mccannel Hall Room 200, 2891 2nd Ave N Stop 9042, Grand Forks, ND 58202-0798 | 2013-03-05 |
| 1821509274 | Anv Services LLC | Clinic/Center | 4201 James Ray Dr, Grand Forks, ND 58202-6026 | 2017-10-12 |
| 1558759308 | Mayumi Ogino | Specialist/Technologist | 2751 2nd Ave N Rm 115, Mail Stop 9013, Grand Forks, ND 58202-6060 | 2015-01-02 |
| 1255732988 | Alicia Champagne | Specialist/Technologist | 2751 2nd Ave N, Stop 9013, Grand Forks, ND 58202-6060 | 2014-09-12 |
| 1235764432 | Mikala Jo Springer | Student in an Organized Health Care Education/Training Program | 2751 2nd Ave N, Grand Forks, ND 58202-6060 | 2020-03-08 |
| 1790341972 | Katelynn Marie Kostelecky | Physical Therapist | 2751 2nd Ave N Rm 115, Grand Forks, ND 58202-6060 | 2019-05-14 |
| Find all providers in zip 58202 | ||||
| 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 |
|---|---|---|---|---|
| 1578838090 | Sherman Normandin | Psychologist | 2534 17th Ave S Ste E, Grand Forks, ND 58201-5215 | 2012-03-16 |
| 1831395573 | Rhanda B Clow | Psychologist | 1407 24th Ave S # 206, Grand Forks, ND 58201-6761 | 2007-06-21 |
| 1336179456 | April Rain Bradley | Psychologist | 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 | 2006-07-04 |
| 1467400689 | Karen Rae Pietras | Psychologist | 3535 South 31st Street, Suite 201, Grand Forks, ND 58201-3593 | 2006-05-04 |
| 1700496775 | Caylee Ellingson | Psychologist | 151 S 4th St, Grand Forks, ND 58201-4715 | 2020-08-05 |
| 1811516586 | Sheryl Holter Vogel | Psychologist | 2808 17th Ave S, Grand Forks, ND 58201-4010 | 2020-04-13 |
| 1851873046 | Carissa Malevich | Psychologist | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6510 | 2018-09-04 |
| 1407344328 | John A Campbell | Psychologist | 2808 17th Ave S, Grand Forks, ND 58201-4010 | 2018-04-26 |
| 1629401567 | Mariah Dawn Laver Juanto | Psychologist | 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895 | 2013-08-14 |
| 1821340548 | Christine Boulton-olson | Psychologist | 3535 S 31st St Ste 201, Grand Forks, ND 58201-3593 | 2012-10-04 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58202 |
Please comment or provide details below to improve the information on CENTER FOR PSYCHOLOGICAL AND EDUCATIONAL ASSESSMENT.
| 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.