Active NPI
Dion Xavier Darveaux, PHD
- Psychologist
- Fergus Falls, MN
National Provider Identifier
1952407751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP5232
- Practice address
- 121 N Mill St
Fergus Falls, MN 56537-2134 - Phone
- (218) 736-3035
- Fax
- (218) 737-0009
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 202 | ND | |
| Psychologist | 103T00000X | LP5232 | MN | Primary |
Addresses
Primary practice location
121 N Mill St
Fergus Falls, MN 56537-2134
Mailing address
121 N Mill St
Fergus Falls, MN 56537-2134
Phone (218) 736-3035
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680003342 | Other | MN | MEDICARE PTAN |
| 17001 | Medicaid | ND | |
| 90687 | Other | ND | SS DISABILITY DETERMINATI |
| 5306 | Other | ND | BLUE CROSS BLUE SHIELD |
| N717973 | Other | ND | MEDICARE PTAN |
| 574458100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120719000363 | MN | Practitioner - Clinical Psychologist | 2163688193 | Practice locations: Fergus Falls, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
121 N Mill St
Fergus Falls, MN 56537-2134
Phone (218) 736-3035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5232 | MN | MD | Psychologist |
| 202 | ND | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benson Psychological Services PC | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fargo, ND
- NPI 1477709574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1952407751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N MILL ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372134",
"telephone_number": "218-736-3035",
"fax_number": "218-737-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N MILL ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372134",
"telephone_number": "218-736-3035",
"fax_number": "218-737-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARVEAUX",
"first_name": "DION",
"middle_name": "XAVIER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "202",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP5232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "680003342",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17001",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SS DISABILITY DETERMINATI",
"identifier": "90687",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5306",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "N717973",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "574458100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.