Christen G Herrick, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

420 Issued in ND

Practice address

201 Slate Dr Ste 4
Bismarck, ND 58503-6181

Phone

(701) 877-1806

Fax

(701) 222-0331

NPI assigned

Nov 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Herrick Psychological Services PLLC

  • Psychologist
  • Bismarck, ND
  • NPI 1952040941
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1689829202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SLATE DR STE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036181",
            "telephone_number": "701-877-1806",
            "fax_number": "701-222-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SLATE DR STE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036181",
            "telephone_number": "701-877-1806",
            "fax_number": "701-222-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Interstate Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585031566",
            "country_code": "US",
            "telephone_number": "701-323-6543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 N 7TH STREET",
            "address_purpose": "LOCATION",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014423",
            "country_code": "US",
            "telephone_number": "701-323-6543",
            "fax_number": "701-323-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "CHRISTEN",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ND",
            "license": "420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00767214",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "420",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10033",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana L. Herner, LPCC
• Jessica Herold
• Lori Herold
• Tana J Herr, PT
• Herrick Psychological Services PLLC
• Chris A Hertler, PH.D.
• Chelsi Jo Hertz
• Dawn Lynn Hertz, PHARMD
• Dwight J Hertz, MD
• Troy Vernon Hertz, PHARMD

• Psychologist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.