Active NPI
Kathryn M. Tevington, M.D.
- Psychiatry Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ND 9538
- Practice address
- 151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715 - Phone
- (701) 795-3000
- Fax
- (701) 795-3050
- NPI assigned
- Jan 29, 2007
- Last updated
- Jan 6, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ND 9538 | ND | Primary |
Addresses
Primary practice location
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Mailing address
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 9538 | ND | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Health Clinic | Current | Accepting new patients | |
| Northeast Human Service Center | Current | Accepting new patients |
Locations
151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Forks, ND
- NPI 1366496341
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Grand Forks, ND
- NPI 1891808978
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1285770081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 S 4TH ST",
"address_2": "SUITE 401",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014715",
"telephone_number": "701-795-3000",
"fax_number": "701-795-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S 4TH ST",
"address_2": "SUITE 401",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014715",
"telephone_number": "701-795-3000",
"fax_number": "701-795-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEVINGTON",
"first_name": "KATHRYN",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "ND 9538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
- Marilyn Telles, RN
- Kevin J Temple, MD
- Neal Gary Tepper, LICSW
- Tamara Mary Ternes, PT
- Brandon James Tetrault, ATC
- Susan Rae Tharalson, RN
- The Aurora Cardiology Clinic
- The Housing Authority of the City of Grand Forks, North Dakota (Grand Forks Housing Authority)
- Theige Drug Inc (Medicap Pharmacy)
- Jeffrey Lynn Theige, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.