Insight Forensic Psychology LLC

Primary specialty

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

Legal business name

INSIGHT FORENSIC PSYCHOLOGY LLC

Practice address

12 S 3Rd St
Suite 203
Grand Forks, ND 58201-4798

Phone

(701) 730-2033

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Troy William Ertelt, PH.D.

Title

President/Chief Executive Officer

Phone

(701) 730-2033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1740683242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S 3RD ST",
            "address_2": "SUITE 203",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014798",
            "telephone_number": "701-730-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S 3RD ST",
            "address_2": "SUITE 203",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014798",
            "telephone_number": "701-730-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT FORENSIC PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "ERTELT",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "701-730-2033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Aina Igbenabor, MD
• Chetachi Ikeokwu, RN
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• Samantha Imdieke, M.S., CF-SLP
• Independent Communication Therapy
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• Integrity Homecare and Counseling
• Mackenzie Irwin, FNP-C
• Ergest Isak, MD
• Lisa Isler, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Forks, ND
• Providers in Grand Forks, 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 Sep 29, 2014; 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.