Jocelyn Soderstrom, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

548 Issued in ND

Practice address

218 4TH St NW Ste 1
Devils Lake, ND 58301-2930

Phone

(701) 662-8255

Fax

(701) 662-1739

NPI assigned

Feb 6, 2018

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

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Devils Lake Psychological Services PLLCGroup PAC ID 2163773896, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Devils Lake Psychological Services, PLLC

  • Clinical Psychologist
  • Devils Lake, ND
  • NPI 1023598083
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1740789684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 4TH ST NW STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012930",
            "telephone_number": "701-662-8255",
            "fax_number": "701-662-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 4TH ST NW STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012930",
            "telephone_number": "701-662-8255",
            "fax_number": "701-662-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERSTROM",
        "first_name": "JOCELYN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misti Skoog, RN
• Donna Skyberg, RNC
• Madison Sloan
• Megan Smith
• Nicole Snyder, PHARMD
• Diane Sommer
• Speakstrong
• Speakstrong Therapy
• Taylor St. Germaine, B.S.
• Mandy Stenehjem, PA-C

• Clinical Psychologist in Devils Lake, ND
• Providers in Devils Lake, 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 Aug 1, 2023; 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.