| Chambers & Blohm Psychological | |
|
309 N Mandan St Ste 1 Bismarck ND 58501-3886 | |
| (701) 323-0924 | |
| (701) 323-0935 |
| Full Name | Chambers & Blohm Psychological |
|---|---|
| Speciality | Psychologist |
| Location | 309 N Mandan St Ste 1, Bismarck, North Dakota |
| Authorized Official Name and Position | Kathy Blohm (OWNER) |
| Authorized Official Contact | 7013230924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chambers & Blohm Psychological 309 N Mandan St Ste 1 Bismarck ND 58501-3886 Ph: (701) 323-0924 | Chambers & Blohm Psychological 309 N Mandan St Ste 1 Bismarck ND 58501-3886 Ph: (701) 323-0924 |
| NPI Number | 1114045465 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 04/01/2019 |
| Medicare PECOS PAC ID | 1456248004 |
|---|---|
| Medicare Enrollment ID | O20040301000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114045465 | NPI | - | NPPES |
| 2045001 | Other | ND | BCBS OF NORTH DAKOTA |
| 12294 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Lauree L Hellman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962635078 PECOS PAC ID: 2860539178 Enrollment ID: I20091019000607 |
| Provider Name | Michelle M Fortney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174858468 PECOS PAC ID: 4385783554 Enrollment ID: I20091201000260 |
| Provider Name | Kathy Blohm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225153968 PECOS PAC ID: 3971490533 Enrollment ID: I20110223001132 |
| Provider Name | Robert A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952619298 PECOS PAC ID: 2769653526 Enrollment ID: I20110927000745 |
| Provider Name | Shannon P Weisz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730254418 PECOS PAC ID: 4587817465 Enrollment ID: I20121228000108 |
| Provider Name | Gabriela Balf-soran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124024724 PECOS PAC ID: 8820283211 Enrollment ID: I20131118001904 |
| Provider Name | Julijana Nevland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912314337 PECOS PAC ID: 1052637030 Enrollment ID: I20150310002245 |
| Provider Name | Alek Krumm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437725827 PECOS PAC ID: 5698144749 Enrollment ID: I20221212001452 |
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