Devils Lake Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DEVILS LAKE PSYCHOLOGICAL SERVICES, PLLC

Practice address

218 4TH St NW Ste 1
Devils Lake, ND 58301-2930

Phone

(701) 662-8255

Fax

(701) 662-1739

NPI assigned

Aug 20, 2018

Last updated

Aug 1, 2023By 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

Jennifer Hoffarth, PSY.D.NPI 1790163566

Title

Clinical Psychologist/Owner

Phone

(701) 662-8255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 2

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.

• Jennifer Hoffarth, PSYD

  • Clinical Psychologist
  • Devils Lake, ND
  • NPI 1790163566
  Medicare reassignment Care Compare group NPD Authorized official
• Jocelyn Soderstrom, PSYD

  • Clinical Psychologist
  • Devils Lake, ND
  • NPI 1740789684
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1023598083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 4TH ST NW STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012930",
            "telephone_number": "701-662-8255",
            "fax_number": "701-662-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 4TH ST NW STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012930",
            "telephone_number": "701-662-8255",
            "fax_number": "701-662-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVILS LAKE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "HOFFARTH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "701-662-8255",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Delaney, LAC
• Amanda Delvo
• Taylin Demarce
• Melandie Deplazes
• Patricia Lynn Dettling, LSW
• Robert A Dicken, MD
• Janet Dobler, LICSW
• Shay Donaldson
• Michael James Donnelly, PHARMD.
• Jacqueline Leonia Downs, MD

• 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 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.