Active NPI
Heidi Jo Madsen, PSY.D.
- Clinical Psychologist
- Grafton, ND
National Provider Identifier
1144505231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 448
- Practice address
- 701 W 6TH St
Grafton, ND 58237-1379 - Phone
- (701) 352-4335
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 448 | ND | Primary |
Addresses
Primary practice location
701 W 6TH St
Grafton, ND 58237-1379
Mailing address
52 Willow CT
Grafton, ND 58237-2041
Phone (651) 303-5944
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 448 | ND | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1144505231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 WILLOW CT",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582372041",
"telephone_number": "651-303-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 6TH ST",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582371379",
"telephone_number": "701-352-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "HEIDI",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grafton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.