Knowlton, O'neill & Associates, P.c. | |
1401 13th Ave E West Fargo ND 58078-3468 | |
(701) 364-0060 | |
(701) 364-0065 |
Full Name | Knowlton, O'neill & Associates, P.c. |
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Speciality | Psychologist |
Location | 1401 13th Ave E, West Fargo, North Dakota |
Authorized Official Name and Position | Holly Hegstad (PRESIDENT/CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7013640060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Knowlton, O'neill & Associates, P.c. 1401 13th Ave E West Fargo ND 58078-3468 Ph: (701) 364-0060 | Knowlton, O'neill & Associates, P.c. 1401 13th Ave E West Fargo ND 58078-3468 Ph: (701) 364-0060 |
NPI Number | 1538198759 |
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Provider Enumeration Date | 07/01/2006 |
Last Update Date | 03/19/2024 |
Certification Date | 03/19/2024 |
Medicare PECOS PAC ID | 7214924679 |
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Medicare Enrollment ID | O20040428000058 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538198759 | NPI | - | NPPES |
010742500 | Medicaid | MN | |
266S2KN | Other | MN | BCBS-MN GROUP # |
85532 | Other | HEALTHPARTNERS GROUP # | |
056356001 | Other | ND | BCBS-ND CLINIC # |
12045 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Holly J Hegstad |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720058852 PECOS PAC ID: 0446240006 Enrollment ID: I20040514001111 |
Provider Name | Jenny K Frissell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1467555078 PECOS PAC ID: 5698811925 Enrollment ID: I20090930000189 |
Provider Name | Brenda L Bratton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1073682902 PECOS PAC ID: 6901948421 Enrollment ID: I20100121000824 |
Provider Name | Naveed Haider |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831117480 PECOS PAC ID: 8921294588 Enrollment ID: I20101122000370 |
Provider Name | Glenn Edward Knowlton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063482297 PECOS PAC ID: 2466449822 Enrollment ID: I20110218000047 |
Provider Name | Katherine M Schjeldahl |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083056592 PECOS PAC ID: 5597982918 Enrollment ID: I20140808000503 |
Provider Name | Fiana Sachi England |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023550951 PECOS PAC ID: 9537449590 Enrollment ID: I20161208000766 |
Provider Name | Caitlin A Pollestad |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437662640 PECOS PAC ID: 6002175908 Enrollment ID: I20180123001769 |
Provider Name | Angela B Collins |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871827329 PECOS PAC ID: 7618379876 Enrollment ID: I20210709001676 |
Provider Name | Cassandra Matejka |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336711068 PECOS PAC ID: 4385093186 Enrollment ID: I20231205002703 |
Provider Name | Kjellann Loe-johnson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417311465 PECOS PAC ID: 0143671503 Enrollment ID: I20240110001439 |
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