Psych 180 PLLC

Primary specialty

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

Legal business name

PSYCH 180 PLLC

Doing business as

Psych 180

Practice address

30 7TH St W
Dickinson, ND 58601-4335

Phone

(701) 690-2360

Fax

(701) 291-4747

NPI assigned

May 28, 2024

Last updated

Jul 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly M Chevalier, PMHNP-BCNPI 1922743103

Title

Owner

Phone

(701) 690-2360

Specialties & licenses 2

Addresses

Other names 1

• Psych 180 Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly M Chevalier

  • Psychiatric/Mental Health Nurse Practitioner
  • Dickinson, ND
  • NPI 1922743103
  Medicare reassignment Care Compare group NPD Authorized official
• Robert W. Baer, PSY.D.

  • Clinical Psychologist
  • Dickinson, ND
  • NPI 1801862990
  Medicare reassignment Care Compare group NPD
• Syeda Sana Bischoff, FNP

  • Family Nurse Practitioner
  • Dickinson, ND
  • NPI 1235826967

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1528808573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 7TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014335",
            "telephone_number": "701-690-2360",
            "fax_number": "701-291-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 7TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014335",
            "telephone_number": "701-690-2360",
            "fax_number": "701-291-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH 180 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "CHEVALIER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-690-2360",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psych 180",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul F. Privratsky, LSW
• Richard A Privratsky, OD
• Nicole L Proctor
• Dawn Lynn Pruitt, PHARM.D
• David Charles Przymus, OD
• Sue Pyfer
• Alexis Helen Quammen, LRD
• Anthony Michael Quaste, PHARM. D
• R & S Homecare Services LLC
• Cory E. Rathgeber, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dickinson, ND
• Providers in Dickinson, ND by specialty
• 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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.