Active NPI
Alyssa N Suess, PHD
- Psychologist
- Williston, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 535
- Practice address
- 1905 14 Street West
Williston, ND 58801 - Phone
- (701) 651-6437
- Fax
- (701) 516-8462
- NPI assigned
- Aug 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 535 | ND | |
| Psychologist | 103T00000X | 535 | ND | Primary |
Addresses
Primary practice location
1905 14 Street West
Williston, ND 58801
Mailing address
1905 14 Street West
Williston, ND 58801
Phone (701) 651-6437
Other practice location 1
1321 W Dakota Pkwy
Williston, ND 58801-3807
Phone (701) 857-5998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1469015 | Medicaid | ND |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1905 14TH St W
Williston, ND 58801-4063
Phone (701) 651-6437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 535 | ND | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Health Partners, LLC | Behavior Analyst | Current | Accepting new patients |
| Milestone Health Partners, LLC | Current | Accepting new patients |
Locations
1905 14th St W
Williston, ND 58801
Phone (701) 651-6437
205 Main St
Williston, ND 58801
Phone (701) 570-1775
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.
-
- Multi-Specialty Clinic/Center
- Williston, ND
- NPI 1336860428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1376919498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 14 STREET WEST",
"city": "WILLISTON",
"state": "ND",
"postal_code": "58801",
"telephone_number": "701-651-6437",
"fax_number": "701-516-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 14 STREET WEST",
"city": "WILLISTON",
"state": "ND",
"postal_code": "58801",
"telephone_number": "701-651-6437",
"fax_number": "701-516-8462"
}
],
"practiceLocations": [
{
"address_1": "1321 W Dakota Pkwy",
"address_purpose": "LOCATION",
"city": "Williston",
"state": "ND",
"postal_code": "588013807",
"country_code": "US",
"telephone_number": "701-857-5998",
"fax_number": "701-857-5022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUESS",
"first_name": "ALYSSA",
"middle_name": "N",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2022-09-02",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "ND",
"license": "535",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1469015",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williston, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.