Active NPI
Chris A Hertler, PH.D.
- Psychologist
- Bismarck, ND
National Provider Identifier
1295765733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 229
- Practice address
- 1237 W Divide Ave Ste 1
Bismarck, ND 58501-1220 - Phone
- (701) 328-8888
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 229 | ND | Primary |
Addresses
Primary practice location
1237 W Divide Ave Ste 1
Bismarck, ND 58501-1220
Mailing address
1237 W Divide Ave Ste 1
Bismarck, ND 58501-1220
Phone (701) 328-8888
Other practice location 1
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Phone (701) 227-7500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54523 | Medicaid | ND | |
| 680009655 | Other | RR MEDICARE PIN | |
| 005112 | Other | ND | BC/BS PIN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Behavioral Health Clinic | Current | Accepting new patients | |
| Badlands Behavioral Health Clinic | Past | Accepting new patients |
Locations
1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bismarck, ND
- NPI 1649226713
-
- Community/Behavioral Health Agency
- Dickinson, ND
- NPI 1952828360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1295765733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 W DIVIDE AVE STE 1",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011220",
"telephone_number": "701-328-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 W DIVIDE AVE STE 1",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011220",
"telephone_number": "701-328-8888"
}
],
"practiceLocations": [
{
"address_1": "1463 I94 Business Loop E",
"address_purpose": "LOCATION",
"city": "Dickinson",
"state": "ND",
"postal_code": "586016434",
"country_code": "US",
"telephone_number": "701-227-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERTLER",
"first_name": "CHRIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54523",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "680009655",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PIN",
"identifier": "005112",
"state": "ND"
}
],
"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 Mar 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.