NPIMap

Organization Active NPI

Milestone Health Partners, LLC

  • Psychologist
  • Williston, ND
National Provider Identifier
1942881560
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MILESTONE HEALTH PARTNERS, LLC
Practice address
205 Main St
Williston, ND 58801-6020
Phone
(701) 651-6437
Fax
(701) 516-8462
NPI assigned
Apr 15, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Alyssa Suess, PHDNPI 1376919498
Title
Authorized Official
Phone
(701) 770-2734

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

205 Main St
Williston, ND 58801-6020

Mailing address

205 Main St
Williston, ND 58801-6020
Phone (701) 770-2734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210820001489 ND Part B Supplier - Clinic/Group Practice 8729483284 Receives reassigned benefits from 11 practitioners
Practice locations: Williston, ND

National Provider Directory

National Provider Directory
Tax ID family
Milestone Health Partners LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1905 14th St W
Williston, ND 58801
Phone (701) 651-6437

205 Main St
Williston, ND 58801
Phone (701) 570-1775

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1942881560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016020",
            "telephone_number": "701-770-2734",
            "fax_number": "701-516-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016020",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SUESS",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "701-770-2734",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.

Verify at the official NPI Registry.