Volk Human Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

269 Issued in ND

Legal business name

VOLK HUMAN SERVICES, PC

Practice address

501 3Rd St NE Ste 1
Devils Lake, ND 58301-3006

Phone

(701) 662-1911

NPI assigned

Aug 20, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tara Rhae Avdem

Title

Business Manager

Phone

(701) 662-1911

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah L Hanson, LICSW

  • Clinical Social Worker
  • Devils Lake, ND
  • NPI 1326144791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1003009457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 3RD ST NE STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013006",
            "telephone_number": "701-662-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 3RD ST NE STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013006",
            "telephone_number": "701-662-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLK HUMAN SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "AVDEM",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "RHAE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "701-662-1911"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14236",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1560-01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather M Troy
• Leatha N Vaagen, PT
• Erionna R Vilandre
• Taylor Vistad
• Volk Human Services
• Gregory S Volk, PSY D
• Matthew Volquardsen
• Laura L Waagen, LCSW
• Nancy Waagen
• Summer Wahus

• Clinical Psychologist in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Clinical Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.