Active NPI
Ashley R Serrano, M.A., M.S., PH.D.
- Clinical Psychologist
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 651
- Practice address
- 1800 E Interstate Ave
Bismarck, ND 58503-1399 - Phone
- (701) 323-8800
- NPI assigned
- May 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP5792 | MN | |
| Clinical Psychologist | 103TC0700X | 651 | ND | Primary |
Addresses
Primary practice location
1800 E Interstate Ave
Bismarck, ND 58503-1399
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other practice location 1
3333 University Ave SE
Minneapolis, MN 55414-3325
Phone (612) 331-9413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Maple Grove, MN 55369
Phone (701) 323-8800
Rochester, MN 55901
Phone (701) 323-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5792 | MN | MD | Clinical Psychologist |
| 651 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients |
Locations
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
3800 Park Nicollet Blvd
St Louis Park, MN 55416
Phone (952) 993-1000
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
1800 E Interstate Ave
Bismarck, ND 58503
Phone (701) 323-6543
Organizations & group practices 3
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.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Multi-Specialty Clinic/Center
- Dickinson, ND
- NPI 1720075377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1093940355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E INTERSTATE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031399",
"telephone_number": "701-323-8800"
}
],
"practiceLocations": [
{
"address_1": "3333 University Ave SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554143325",
"country_code": "US",
"telephone_number": "612-331-9413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERRANO",
"first_name": "ASHLEY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.A., M.S., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP5792",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.