Individual provider Active NPI

Lincoln D. Coombs, PSY.D.

  • Psychologist
  • Jamestown, ND
National Provider Identifier
1043356405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
ND 361 Issued in ND
Practice address
2605 Circle Dr
Jamestown, ND 58401-6905
Phone
(701) 253-3926
Fax
(701) 253-3999
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X ND 361 ND Primary

Addresses

Primary practice location

2605 Circle Dr
Jamestown, ND 58401-6905

Mailing address

2605 Circle Dr
Jamestown, ND 58401-6905
Phone (701) 253-3926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000657 ND Practitioner - Clinical Psychologist 5193905933 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Human Service CenterGroup PAC ID 6305885013, 23 clinicians

Practice addresses (Care Compare)

1015 S Broadway
Suite 18
Minot, ND 58701-4667
Phone (701) 857-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND 361NDMDPsychologist
361NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Badlands Behavioral Health Clinic CurrentSince May 1, 2025 Accepting new patients
South Central Behavioral Health Clinic CurrentSince May 1, 2025 Accepting new patients
Northeast Behavioral Health Clinic CurrentSince May 1, 2025 Accepting new patients
North Central Behavioral Health Clinic CurrentSince Jun 26, 2019 Accepting new patients
West Central Behavioral Health Clinic CurrentSince May 1, 2025 Accepting new patients
Lake Region Behavioral Health Clinic CurrentSince May 1, 2025 Accepting new patients
Northwest Behavioral Health Clinic CurrentSince May 1, 2025 Accepting new patients
Northeast Human Service Center CurrentSince May 1, 2025 Accepting new patients
Southeast Behavioral Health Clinic CurrentSince May 1, 2025 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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043356405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 CIRCLE DR",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016905",
            "telephone_number": "701-253-3926",
            "fax_number": "701-253-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CIRCLE DR",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016905",
            "telephone_number": "701-253-3926",
            "fax_number": "701-253-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "LINCOLN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ND",
            "license": "ND 361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.