Berentson Psychological Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BERENTSON PSYCHOLOGICAL SERVICES, PLLC

Practice address

2321 Lake Loop Rd
Bottineau, ND 58318-8234

Phone

(701) 389-7963

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Lea Berentson, PSYDNPI 1295156495

Title

Clinical Psychologist

Phone

(701) 471-2360

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lea Berentson, PSYD

  • Clinical Psychologist
  • Bottineau, ND
  • NPI 1295156495
  NPD Authorized official

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1497577167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583180267",
            "telephone_number": "701-389-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 LAKE LOOP RD",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583188234",
            "telephone_number": "701-389-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERENTSON PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "BERENTSON",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "701-471-2360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt Bradley Amdahl, PT, DPT
• Kyle James Arends
• Stephanie Ann Arends
• Amanda Kay Dukart Beckman, FNP
• Heather Belcourt
• Erin Berentson, MPH, RDN, LRD
• Lea Berentson, PSYD
• Tyrone Berentson, MD
• Molly Sue Beyer, FNP-C
• Block Chiropractic & Wellness

• All providers in Bottineau, ND
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.