Individual provider Active NPI

David H. Whitcomb, PH.D.

  • Clinical Psychologist
  • Grand Forks, ND
National Provider Identifier
1316140346
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
399 Issued in ND
Practice address
217A S 4TH St Ste 202
Grand Forks, ND 58201-4737
Phone
(701) 772-1588
NPI assigned
Jun 7, 2007
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 399 ND Primary
Counseling Psychologist 103TC1900X 399 ND

Addresses

Primary practice location

217A S 4TH St Ste 202
Grand Forks, ND 58201-4737

Mailing address

504 S 4TH St
Grand Forks, ND 58201-4712
Phone (701) 610-8000

Other practice location 1

2100 S Columbia Rd
Grand Forks, ND 58201-5895
Phone (701) 772-1588

Other practice location 2

1635 43rd St S Ste 105
Fargo, ND 58103-3579
Phone (218) 287-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
399NDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Dakota State Hospital CurrentSince Sep 19, 2022 Accepting new patients
Solutions Behavioral Healthcare Professionals, PC Clinical CurrentSince Dec 27, 2022 Accepting new patients

Locations

1547 30th Ave S
Moorhead, MN 56560
Phone 21828743381113

4503 Coleman St
Ste 203
Bismarck, ND 58503
Phone (701) 412-2973

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

1635 43rd St S
Ste 105
Fargo, ND 58103
Phone (701) 412-2973

2605 Circle Dr
Jamestown, ND 58401
Phone (701) 253-3650

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1316140346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S 4TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014712",
            "telephone_number": "701-610-8000",
            "fax_number": "701-777-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217A S 4TH ST STE 202",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014737",
            "telephone_number": "701-772-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 S Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582015895",
            "country_code": "US",
            "telephone_number": "701-772-1588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 43rd St S Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581033579",
            "country_code": "US",
            "telephone_number": "218-287-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "399",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ND",
            "license": "399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.