DR. TROY W ERTELT (NPI# 1720344898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720344898 |
| Entity Type | Individual |
| Full Name | DR. TROY W ERTELT |
| Practice Address |
725 Hamline St Grand Forks ND 58203-2819 |
| Practice Telephone | 7017806858 |
| Practice Fax Number | 7017801973 |
| Mailing Telephone | 7017806858 |
| Mailing Fax Number | 7017801973 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
725 HAMLINE ST |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58203-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063430122 | A Marc Nielsen | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2006-07-17 |
| 1093335622 | Kelsie Brooks | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1124648753 | Caitlin Sisson | Student in an Organized Health Care Education/Training Program | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1245850866 | Allison Daniel | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1316567944 | Whitney Tingle | Student in an Organized Health Care Education/Training Program | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1922628551 | Ashlyn Kamrath | Student in an Organized Health Care Education/Training Program | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1194345736 | Ashley Skonieczny | Student in an Organized Health Care Education/Training Program | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1922668938 | Olivia Fleming | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2019-06-20 |
| 1285294348 | Carl Liebe | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2019-06-19 |
| 1407416563 | Daniel Hoy | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354978 | Valley Med Flight Inc | Ambulance | 2403 Air Cargo Dr, Grand Forks, ND 58203 | 2010-08-20 |
| 1285842765 | Amanda Caroline Ostlie | Physical Therapy Assistant | 1809 5th Ave N, Grand Forks, ND 58203 | 2007-05-18 |
| 1346396314 | Carla Steen | Speech-Language Pathologist | 501 N Columbia Rd Stop 8040, Grand Forks, ND 58203 | 2007-01-25 |
| 1457408239 | Rebecca Ann Westereng | Dietitian, Registered | 725 Hamline St Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-01-04 |
| 1912063587 | Northridge Counseling Centre Inc | Counselor | 215 N 3rd Street, Suite 202a, Grand Forks, ND 58203 | 2006-12-28 |
| 1245318625 | Charles Lee Bridgeford | Dentist | 117 North Washington Street, Grand Forks, ND 58203 | 2006-11-01 |
| 1497833933 | Casey J Ryan | Internal Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2006-11-01 |
| 1033217955 | Diane Kay Baumbach | Social Worker | 2755 10th Ave N, Grand Forks, ND 58203 | 2006-09-21 |
| 1841217320 | Heidi J Philpot | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2006-07-17 |
| 1902415805 | Aura Patricia Ileto Azarcon | Student in an Organized Health Care Education/Training Program | 725 Hamline Street, Altru Family Medicine Residency, Grand Forks, ND 58203 | 2020-07-27 |
| Find all providers in zip 58203 | ||||
| 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 |
| 1326242702 | Center for Psychological and Educational Assessment | Psychologist | 290 Centennial Dr Stop 7108, 210 Montgomery Hall, Grand Forks, ND 58202-6063 | 2007-06-12 |
| 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 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58203 |
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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.