Organization Active NPI

Herrick Psychological Services PLLC

  • Psychologist
  • Bismarck, ND
National Provider Identifier
1952040941
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HERRICK PSYCHOLOGICAL SERVICES PLLC
Practice address
201 Slate Dr Ste 4
Bismarck, ND 58503-6181
Phone
(701) 877-1806
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Christen Herrick, PHDNPI 1689829202
Title
Owner/PHD
Phone
(701) 877-1806

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

201 Slate Dr Ste 4
Bismarck, ND 58503-6181

Mailing address

201 Slate Dr Ste 4
Bismarck, ND 58503-6181
Phone (701) 877-1806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220701000336 ND Part B Supplier - Clinic/Group Practice 8325428717 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

201 Slate Dr
Ste 4
Bismarck, ND 58503
Phone (701) 877-1806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1952040941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SLATE DR STE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036181",
            "telephone_number": "701-877-1806",
            "fax_number": "701-222-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SLATE DR STE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036181",
            "telephone_number": "701-877-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRICK PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "HERRICK",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_title_or_position": "OWNER/PHD",
        "authorized_official_telephone_number": "701-877-1806",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.