| Martinsen Behavioral Health Pllc | |
|
2116 4th Ave Nw Ste 100 Minot ND 58703-2967 | |
| (701) 838-2112 | |
| (701) 838-2115 |
| Full Name | Martinsen Behavioral Health Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2116 4th Ave Nw Ste 100, Minot, North Dakota |
| Authorized Official Name and Position | Della Ann Martinsen (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7018382112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martinsen Behavioral Health Pllc 2116 4th Ave Nw Ste 100 Minot ND 58703-2967 Ph: (701) 838-2112 | Martinsen Behavioral Health Pllc 2116 4th Ave Nw Ste 100 Minot ND 58703-2967 Ph: (701) 838-2112 |
| NPI Number | 1831844349 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 2466848304 |
|---|---|
| Medicare Enrollment ID | O20220401001640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831844349 | NPI | - | NPPES |
| N731150 | Other | ND | MEDICARE |
| 1485670 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Della A Martinsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760570998 PECOS PAC ID: 5294929410 Enrollment ID: I20101102000551 |
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