| Bismarck Psychological Associates, Pllc | |
|
107 W. Main Ave. Suite 225 Bismarck ND 58501 | |
| (701) 751-4122 | |
| (701) 751-1728 |
| Full Name | Bismarck Psychological Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 107 W. Main Ave., Bismarck, North Dakota |
| Authorized Official Name and Position | Claudette Marie Reno (CLINICAL PSYCHOLOGIST/CO-OWNER) |
| Authorized Official Contact | 7017514122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bismarck Psychological Associates, Pllc 107 W. Main Ave. Suite 225 Bismarck ND 58501 Ph: (701) 751-4122 | Bismarck Psychological Associates, Pllc 107 W. Main Ave. Suite 225 Bismarck ND 58501 Ph: (701) 751-4122 |
| NPI Number | 1144670019 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Medicare PECOS PAC ID | 6608162201 |
|---|---|
| Medicare Enrollment ID | O20160908000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144670019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Claudette M Reno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396857686 PECOS PAC ID: 6901702497 Enrollment ID: I20031208000234 |
| Provider Name | Karli A Ghering |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669572574 PECOS PAC ID: 8527117613 Enrollment ID: I20090520000235 |
| Provider Name | Sara R Bashus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457580110 PECOS PAC ID: 6103019161 Enrollment ID: I20101022000053 |
| Provider Name | Chantalle Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366950917 PECOS PAC ID: 5496198590 Enrollment ID: I20240206001526 |
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