Lincoln D. Coombs, PSY.D.
Individual provider Active NPI Psychologist · Jamestown, ND
NPI 1043356405 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043356405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- ND 361 (ND)
- Practice address
- 2605 Circle Dr
Jamestown, ND 58401-6905 - Phone
- (701) 253-3926
- Fax
- (701) 253-3999
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Central Human Service Center
Practice addresses (Care Compare)
1015 S Broadway
Suite 18
Minot, ND 58701-4667
Phone (701) 857-8500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110210000657 | ND | Practitioner - Clinical Psychologist | 5193905933 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 361 | ND | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central Behavioral Health Clinic | Current |
Accepting new patients | |
| West Central Behavioral Health Clinic | Current |
Accepting new patients | |
| Lake Region Behavioral Health Clinic | Current |
Accepting new patients | |
| South Central Behavioral Health Clinic | Current |
Accepting new patients | |
| Northeast Human Service Center | Current |
Accepting new patients | |
| Southeast Behavioral Health Clinic | Current |
Accepting new patients | |
| Northwest Behavioral Health Clinic | Current |
Accepting new patients | |
| Northeast Behavioral Health Clinic | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Past |
Accepting new patients |
Locations
1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888
600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644
200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500
151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000
520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300
1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500
316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | ND 361 | ND | Yes |
Addresses
Primary practice location
2605 Circle Dr
Jamestown, ND 58401-6905
Mailing address
2605 Circle Dr
Jamestown, ND 58401-6905
Phone (701) 253-3926
Other providers in Jamestown, ND
- Jeannine Kathleen Colburn
- Jessica Rose Colburn
- Emily Coler Hanson
- John D Collins
- Community MRI Services, LLC
- Gary Cornforth
- Cora Courage
- Kylea Hansen Courage
- Covenant Care Incorporated
- Samantha Crabill
All providers in Jamestown, ND · Psychologist 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 Jul 8, 2007. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.