CARISSA MALEVICH (NPI# 1851873046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851873046 |
| Entity Type | Individual |
| Full Name | CARISSA MALEVICH |
| Other Name | CARISSA ERICKSON |
| Practice Address |
2424 32nd Ave S Ste 202 Grand Forks ND 58201-6510 |
| Practice Telephone | 7017466336 |
| Mailing Telephone | 7017466336 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 569 | ND | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2424 32ND AVE S STE 202 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770549941 | Paula Osowski | Physician Assistant | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6545 | 2006-04-25 |
| 1649652264 | Craig E Davis | Counselor | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6545 | 2015-06-19 |
| 1801231048 | Melissa A Quincer | Counselor | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201 | 2013-05-01 |
| 1922342955 | Tanner Grimsley | Counselor | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6545 | 2012-11-15 |
| 1851694806 | Jana Lee Theisen | Counselor | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6545 | 2010-12-14 |
| 1659528537 | Lori C Mohagen | Counselor | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6545 | 2008-08-22 |
| 1740462605 | Karin L Walton | Counselor | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6545 | 2007-12-03 |
| 1447447511 | Alissa Janstein Stein Fugazzi | Social Worker | 2424 32nd Ave S Ste 202, Grand Forks, ND 58201-6545 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| 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 |
| 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 | 58201 |
Please comment or provide details below to improve the information on CARISSA MALEVICH.
| 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.