Individual provider Active NPI

Gregory S Volk, PSY D

  • Clinical Psychologist
  • Devils Lake, ND
National Provider Identifier
1093811473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
269 Issued in ND
Practice address
501 3Rd St NE Ste 1
Devils Lake, ND 58301-3006
Phone
(701) 662-1911
Fax
(701) 662-4770
NPI assigned
Sep 15, 2006
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
Clinical Psychologist 103TC0700X 269 ND Primary

Addresses

Primary practice location

501 3Rd St NE Ste 1
Devils Lake, ND 58301-3006

Mailing address

501 3Rd St NE Ste 1
Devils Lake, ND 58301-3006
Phone (701) 662-1911

Other identifiers 2

IdentifierTypeStateIssuer
10104MedicaidND
14084OtherNDBCBS OF ND

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
I20040812000166 ND Practitioner - Clinical Psychologist 2062484728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
269NDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Volk Human Services Clinical 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, 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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093811473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 3RD ST NE STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013006",
            "telephone_number": "701-662-1911",
            "fax_number": "701-662-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 3RD ST NE STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013006",
            "telephone_number": "701-662-1911",
            "fax_number": "701-662-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLK",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10104",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "14084",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

Verify at the official NPI Registry.