Individual provider Active NPI

Jill Kari Doppler, EDS

  • School Psychologist
  • Bismarck, ND
National Provider Identifier
1659107944
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0047611 Issued in ND
Practice address
806 N Washington St
Bismarck, ND 58501-3623
Phone
(701) 323-4018
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0047611 ND Primary

Addresses

Primary practice location

806 N Washington St
Bismarck, ND 58501-3623

Mailing address

806 N Washington St
Bismarck, ND 58501-3623
Phone (701) 323-4018

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0047611NDMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1659107944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N WASHINGTON ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013623",
            "telephone_number": "701-323-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N WASHINGTON ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013623",
            "telephone_number": "701-323-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPPLER",
        "first_name": "JILL",
        "middle_name": "KARI",
        "credential": "EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "ND",
            "license": "0047611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.