Agassiz Associates, PLLC
Organization Active NPI Clinical Psychologist · Grand Forks, ND
NPI 1700972122 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1700972122
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- AGASSIZ ASSOCIATES, PLLC
- Practice address
- 4700 S Washington St Ste G
Grand Forks, ND 58201-8155 - Phone
- (701) 746-6336
- Fax
- (701) 772-1030
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Brandi Fuehrer
- Title
- Office Manager
- Phone
- (701) 746-6336
Practitioners 27
-
Heidi Kay Jensen, PH.D.
-
Carissa Malevich, PHD
-
Kim M Miller, LPCC, LMAC
-
Melissa A Quincer, PHD
-
Jana Lee Theisen, LCAC, LCSW
-
Nicole Anvinson, PA-C
-
Paula Osowski, PA-C
-
Deborah Lynn Davis, LPCC, LMAC
-
Cassie Campbell, LAC
-
Marlys F Fisher, LMAC, LPC
-
Kimberlie Larson, RN, BSN
-
Erin E Lunski, LCAC, LMSW
-
Anna Nguyen, M.A.
-
Craig E Davis, LAC
-
Tanner Grimsley, LAC
-
Judith Ann Haynes, PH.D.
-
Rosanne McBride, PH.D.
-
Lori C Mohagen, LAC
-
Lora Lee Sloan McArthur, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040916001019 | ND | Part B Supplier - Clinic/Group Practice | 9335116417 |
Receives reassigned benefits from 10 practitioners Practice locations: Grand Forks, ND |
| O20250811000638 | MN | Part B Supplier - Clinic/Group Practice | 9335116417 |
Receives reassigned benefits from 1 practitioner Practice locations: Roseau, MN |
National Provider Directory
Locations
1307 3rd St NE
Ste 105
Roseau, MN 56751
Phone (701) 746-6336
2424 32nd Ave S
Grand Forks, ND 58201
Phone (701) 746-6694
1407 24th Ave S
Ste 520
Grand Forks, ND 58201
Phone (701) 746-5822
2424 32nd Ave S
Ste 202
Grand Forks, ND 58201
Phone (701) 746-6336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes | ||
| Counseling Psychologist |
103TC1900X |
Addresses
Primary practice location
4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Mailing address
4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Phone (701) 746-6336
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457916 | Medicaid | ND |
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- Aging in Place Home Care, LLC
- Agio Roba Inc.
- Deeann Ahmann
- Abdelhamid M Ahmed
- Abdirizak Mohamed Ahmed
All providers in Grand Forks, ND · Clinical Psychologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.