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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
401 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 14438 | 05 |
| Street Address |
1720 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4940 |
| 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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| 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 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 103TP0814X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Psychoanalysis |
| (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. |
| 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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| 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.