Dr Jonathan E Whalen, PHD | |
2808 17th Ave S, Grand Forks, ND 58201-4010 | |
(701) 746-8376 | |
(701) 746-9872 |
Full Name | Dr Jonathan E Whalen |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 27 Years |
Location | 2808 17th Ave S, Grand Forks, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043240914 | NPI | - | NPPES |
13502 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 376 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lipp Carlson Witucki And Associates Ltd | 2062408701 | 9 |
Entity Name | Lipp Carlson Witucki & Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043316961 PECOS PAC ID: 2062408701 Enrollment ID: O20040420001654 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan E Whalen, PHD 2808 17th Ave S, Grand Forks, ND 58201-4010 Ph: (701) 746-8376 | Dr Jonathan E Whalen, PHD 2808 17th Ave S, Grand Forks, ND 58201-4010 Ph: (701) 746-8376 |
Dr. Kara Brita Wettersten, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
Ms. Leslie A Rowan, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2100 South Columbia Road, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
Dr. Sue Ann Russell, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2704 Belmont Rd, Grand Forks, ND 58201 Phone: 701-746-8737 Fax: 701-746-4763 | |
Dr. Kyle Patrick De Young, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 | |
Dr. Jeanine E. Kotschwar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
Elizabeth J Luger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201 Phone: 701-780-6821 Fax: 701-780-1973 |