Active NPI
Angela R Larocque, PHD
- Clinical Psychologist
- Belcourt, ND
National Provider Identifier
1386822864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 408
- Practice address
- 1300 Hospital Loop
Quentin N. Burdick Memorial Health Care Facility
Belcourt, ND 58316 - Phone
- (701) 477-6111
- Fax
- (701) 477-2509
- NPI assigned
- Feb 6, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 408 | ND | Primary |
Addresses
Primary practice location
1300 Hospital Loop
Quentin N. Burdick Memorial Health Care Facility
Belcourt, ND 58316
Mailing address
1300 Hospital Loop
Quentin N. Burdick Memorial Health Care Facility
Belcourt, ND 58316
Phone (701) 477-6111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1460127 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1386822864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HOSPITAL LOOP",
"address_2": "QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY",
"city": "BELCOURT",
"state": "ND",
"postal_code": "58316",
"telephone_number": "701-477-6111",
"fax_number": "701-477-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOSPITAL LOOP",
"address_2": "QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY",
"city": "BELCOURT",
"state": "ND",
"postal_code": "58316",
"telephone_number": "701-477-6111",
"fax_number": "701-477-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCQUE",
"first_name": "ANGELA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1460127",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belcourt, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.