Active NPI
Kalie Bryanne Chambless
- Psychologist
- Grand Forks, ND
National Provider Identifier
1083535355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 501 N Columbia Rd
Grand Forks, ND 58203-2817 - Phone
- (701) 777-3745
- NPI assigned
- Jul 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
501 N Columbia Rd
Grand Forks, ND 58203-2817
Mailing address
3500 Ruemmele Rd Apt 101
Grand Forks, ND 58201-6087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Dakota | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1083535355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 RUEMMELE RD APT 101",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582032817",
"telephone_number": "701-777-3745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBLESS",
"first_name": "KALIE",
"middle_name": "BRYANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.