Laidlaw Psychological Services, PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

204 Issued in ND

Legal business name

LAIDLAW PSYCHOLOGICAL SERVICES, PLC

Practice address

3301 30TH Ave S Ste 101
Grand Forks, ND 58201-6009

Phone

(701) 780-9700

Fax

(701) 780-9709

NPI assigned

Oct 24, 2006

Last updated

Apr 18, 2014By 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

Dr. Robert A Laidlaw, PH.D.NPI 1629031166

Title

Clinical Psychologist

Phone

(701) 780-9700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

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.

• Robert A. Laidlaw, PH.D.

  • Clinical Psychologist
  • Grand Forks, ND
  • NPI 1629031166
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1699859173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 30TH AVE S STE 101",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016009",
            "telephone_number": "701-780-9700",
            "fax_number": "701-780-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 30TH AVE S STE 101",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016009",
            "telephone_number": "701-780-9700",
            "fax_number": "701-780-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAIDLAW PSYCHOLOGICAL SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "LAIDLAW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "701-780-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012274",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "N711209",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Laducer-Speers, QSP
• Jennifer Lynn Laframboise, FNP
• Julie Lagodinski-Christian, O.D.
• Lori Lynn Lahaise, M.S. CCC-SLP
• Kayleigh Laiche, LCSW
• Robert A. Laidlaw, PH.D.
• Madison Lake, PA-C
• Theresa A Lalonde, NP
• Patrick Lamb, M.D.
• Russell Reed Lambert

• Clinical Psychologist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Clinical Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.

Verify at the official NPI Registry.