Alex Eaton Psychological Services, PLLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Minot, ND
NPI 1003581273 · NPPES record last updated Aug 10, 2021
Key facts
- NPI
- 1003581273
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ALEX EATON PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 1705 4TH Ave NW
Minot, ND 58703-2912 - Phone
- (701) 839-0474
- NPI assigned
- Aug 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Alex Keith Eaton, PSY.D.
- Title
- Licensed Clinical Psychologist
- Phone
- (701) 839-0474
Practitioners 1
-
Alex Keith Eaton, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210928001663 | ND | Part B Supplier - Clinic/Group Practice | 1254738636 |
Receives reassigned benefits from 1 practitioner Practice locations: Minot, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
1705 4TH Ave NW
Minot, ND 58703-2912
Mailing address
1705 4TH Ave NW
Minot, ND 58703-2912
Phone (701) 839-0474
Other providers in Minot, ND
- Saleh Al-Rabee
- Badie Alakech
- Alan F.H. Lim, M.D., P.C.
- Aaron J Albers
- Marisa Ann Albertson
- Hayley Marie Alkhafaji
- Antoinette Fernell Allen
- Tyler J Allers
- Heather Allery
- Jessie Allery
All providers in Minot, ND · Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.