Active NPI
Rosanne McBride, PH.D.
- Clinical Psychologist
- Grand Forks, ND
National Provider Identifier
1942397708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 275
- Practice address
- 1407 24TH Ave S
Grand Forks, ND 58201-6761 - Phone
- (701) 746-6336
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 275 | ND | Primary |
Addresses
Primary practice location
1407 24TH Ave S
Grand Forks, ND 58201-6761
Mailing address
1407 24TH Ave S
Grand Forks, ND 58201-6761
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24744 | Other | ND | BLUECROSSBLUESHIELD OF ND |
| 18657 | Medicaid | ND | |
| 309K6MC | Other | MN | BLUECROSSBLUESHIELD OF MN |
Other names 1
- Rosanne Bel Franklin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275 | ND | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agassiz Associates, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Grand Forks, ND
- NPI 1700972122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942397708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 24TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 24TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016761",
"telephone_number": "701-746-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "ROSANNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF ND",
"identifier": "24744",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18657",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF MN",
"identifier": "309K6MC",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSANNE",
"last_name": "FRANKLIN",
"middle_name": "BEL",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.