Active NPI
Katrina Marie Dedona, PSYD
- Psychologist
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 651P
- Practice address
- 1463 I94 Business Loop E
Dickinson, ND 58601-6434 - Phone
- (701) 227-7500
- Fax
- (701) 227-7575
- NPI assigned
- Sep 16, 2015
- Last updated
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5666 | NC | |
| Psychologist | 103T00000X | 651P | ND | Primary |
Addresses
Primary practice location
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Mailing address
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Phone (701) 227-7500
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Phone (701) 227-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651P | ND | MD | Psychologist |
| 549 | ND | MD | Chiropractor |
| 5666 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badlands Behavioral Health Clinic | Current | Accepting new patients | |
| South Central Behavioral Health Clinic | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Northeast Behavioral Health Clinic | Current | Accepting new patients | |
| North Central Behavioral Health Clinic | Current | Accepting new patients | |
| West Central Behavioral Health Clinic | Current | Accepting new patients | |
| Lake Region Behavioral Health Clinic | Current | Accepting new patients | |
| Northwest Behavioral Health Clinic | Current | Accepting new patients | |
| Northeast Human Service Center | Current | Accepting new patients | |
| Southeast Behavioral Health Clinic | Current | Accepting new patients | |
| Carolinas Medical Center | Psychologist | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
251 Eastway Dr
Charlotte, NC 28213
Phone (704) 446-9991
3541 Randolph Rd
Ste 206
Charlotte, NC 28211
Phone (704) 381-8336
1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888
600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644
200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500
151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000
520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300
1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500
316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Badlands HSC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dickinson, ND
- NPI 1124072525
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Devils Lake, ND
- NPI 1669411930
-
- Clinic/Center
- Minot, ND
- NPI 1477592533
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Forks, ND
- NPI 1366496341
-
- Adult Mental Health Clinic/Center
- Williston, ND
- NPI 1770524613
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jamestown, ND
- NPI 1225075906
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fargo, ND
- NPI 1932146941
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bismarck, ND
- NPI 1649226713
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Grand Forks, ND
- NPI 1891808978
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Teen Health Connection
- Professional Counselor
- Charlotte, NC
- NPI 1942539010
Psychologist
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1770952111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1463 I94 BUSINESS LOOP E",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586016434",
"telephone_number": "701-227-7500",
"fax_number": "701-227-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1463 I94 BUSINESS LOOP E",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586016434",
"telephone_number": "701-227-7500",
"fax_number": "701-227-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDONA",
"first_name": "KATRINA",
"middle_name": "MARIE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5666",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "651P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.