DR. JOCELYN SODERSTROM (NPI# 1740789684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740789684 |
| Entity Type | Individual |
| Full Name | DR. JOCELYN SODERSTROM |
| Credential | PSYD |
| Practice Address |
211 4th St Ne Ste 4 Devils Lake ND 58301-2479 |
| Practice Telephone | 7016628255 |
| Practice Fax Number | 7016621739 |
| Mailing Telephone | 7016628255 |
| Mailing Fax Number | 7016621739 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
548 | ND | Behavioral Health & Social Service Providers |
| Street Address |
211 4TH ST NE STE 4 |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023598083 | Devils Lake Psychological Services, Pllc | Psychologist | 224 4th St Nw Ste 7, Devils Lake, ND 58301-2960 | 2018-08-20 |
| 1093811473 | Gregory S Volk | Psychologist | 501 3rd St Ne Ste 1, Devils Lake, ND 58301-3006 | 2006-09-15 |
| 1790163566 | Jennifer Hoffarth | Psychologist | 211 4th St Ne, Ste 4, Devils Lake, ND 58301-2479 | 2015-05-13 |
| 1003009457 | Volk Human Services, PC | Psychologist | 501 3rd St Ne Ste 1, Devils Lake, ND 58301-3006 | 2007-08-20 |
| 1649461344 | Blooming Prairie Assessment & Therapy Center P.C. | Psychologist | 211 4th St Ne, Ste 4, Devils Lake, ND 58301-2479 | 2007-08-07 |
| 1902902356 | Volk Human Services | Psychologist | 501 3rd St Ne Ste 1, Devils Lake, ND 58301-3006 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1407009400 | Jennifer M Garaas | Psychologist | 102 West Beaton Drive, Suite 103, West Fargo, ND 58078-3468 | 2008-11-04 |
| 1770745267 | Joel D Deloy | Psychologist | 1451 44th Ave S Ste F, Grand Forks, ND 58201-3434 | 2008-06-26 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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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.