Active NPI
Martinsen Behavioral Health PLLC
- Clinical Psychologist
- Minot, ND
National Provider Identifier
1831844349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MARTINSEN BEHAVIORAL HEALTH PLLC
- Practice address
- 2116 4TH Ave NW Ste 100
Minot, ND 58703-2967 - Phone
- (701) 838-2112
- Fax
- (701) 838-2115
- NPI assigned
- Feb 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Della Ann Martinsen, PHD
- Title
- Licensed Psychologist
- Phone
- (701) 838-2112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2116 4TH Ave NW Ste 100
Minot, ND 58703-2967
Mailing address
2116 4TH Ave NW Ste 100
Minot, ND 58703-2967
Phone (701) 838-2112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N731150 | Other | ND | MEDICARE |
| 1485670 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | della@martinsenbehavioral.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2116 4th Ave NW
Ste 100
Minot, ND 58703
Phone (701) 838-2112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Minot, ND
- NPI 1760570998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1831844349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 4TH AVE NW STE 100",
"city": "MINOT",
"state": "ND",
"postal_code": "587032967",
"telephone_number": "701-838-2112",
"fax_number": "701-838-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 4TH AVE NW STE 100",
"city": "MINOT",
"state": "ND",
"postal_code": "587032967",
"telephone_number": "701-838-2112",
"fax_number": "701-838-2115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTINSEN BEHAVIORAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-14",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "MARTINSEN",
"authorized_official_first_name": "DELLA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "701-838-2112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "N731150",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1485670",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "della@martinsenbehavioral.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2116 4th Ave NW Ste 100",
"city": "Minot",
"state": "ND",
"country_code": "US",
"postal_code": "587032967",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.