Paul Douglas Kolstoe, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

333 Issued in ND

Practice address

701 W 6TH St
Grafton, ND 58237-1379

Phone

(701) 352-4444

Fax

(701) 352-4570

NPI assigned

Feb 18, 2007

Last updated

Oct 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Life Skills and Transition Center

  • Community/Behavioral Health Agency
  • Grafton, ND
  • NPI 1023751971
  NPD (past)
• Life Skills and Transition Center

  • Intellectual Disabilities Intermediate Care Facility
  • Grafton, ND
  • NPI 1558427708
  NPD (past)

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1265576680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 DARWIN DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032027",
            "telephone_number": "701-772-1331"
        },
        {
            "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": "701-352-4444",
            "fax_number": "701-352-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSTOE",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Kern, D.D.S.
• Sooyoon Kim
• McKinzie Kipp
• Timothy Lynn Koehn
• Karly Koenig, SLP
• Anthony James Kotnik, MD
• Lon Kratochvil, PT
• Kelly Larson, SLP
• John Brian Leclerc, OTR/L
• Tammy Rae Lee

• Clinical Psychologist in Grafton, ND
• Providers in Grafton, ND by specialty
• Clinical Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.