Active NPI
Assessment and Therapy Associates of Grand Forks, PLLC
- Clinical Psychologist
- Grand Forks, ND
National Provider Identifier
1437181591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 360
- Legal business name
- ASSESSMENT AND THERAPY ASSOCIATES OF GRAND FORKS, PLLC
- Practice address
- 3535 S 31St St
Suite 201
Grand Forks, ND 58201-3591 - Phone
- (701) 780-6821
- Fax
- (701) 780-1973
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Battles
- Title
- Office Manager
- Phone
- (701) 780-6821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 360 | ND | Primary |
Addresses
Primary practice location
3535 S 31St St
Suite 201
Grand Forks, ND 58201-3591
Mailing address
3535 S 31St St
Suite 201
Grand Forks, ND 58201-3591
Phone (701) 780-6821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060808000232 | ND | Part B Supplier - Clinic/Group Practice | 9436152626 |
Receives reassigned benefits from 22 practitioners Practice locations: Grand Forks, ND |
National Provider Directory
National Provider DirectoryLocations
725 Hamline St
Grand Forks, ND 58203
Phone (701) 777-6800
3535 S 31st St
Ste 201
Grand Forks, ND 58201
Phone (701) 780-6821
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613088000000",
"number": "1437181591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 S 31ST ST",
"address_2": "SUITE 201",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582013591",
"telephone_number": "701-780-6821",
"fax_number": "701-780-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S 31ST ST",
"address_2": "SUITE 201",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582013591",
"telephone_number": "701-780-6821",
"fax_number": "701-780-1973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSESSMENT AND THERAPY ASSOCIATES OF GRAND FORKS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A",
"authorized_official_last_name": "BATTLES",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "701-780-6821"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.