JAN KAREN WITTE-BAKKEN PHD NPI 1013001114

NPI Information

  • NPI: 1013001114
  • Provider Name: JAN KAREN WITTE-BAKKEN, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 891 BELSLY BLVD
    MOORHEAD, MN
    ZIP 56560
  • Phone: (218) 287-4338

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NPI Details

Jan Karen Witte-bakken, PHD is a clinical psychologist in Moorhead, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Jan Karen Witte-bakken, PHD NPI is 1013001114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

891 BELSLY BLVD
MOORHEAD, MN
ZIP 56560-055
Phone: (218) 287-4338
Fax: (218) 287-5928

The enumeration date for this NPI number is 10/3/2006 and was last updated on 2/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical306NORTH DAKOTANo
2103TC0700XPsychologistClinical2205MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1O58334MEDICARE UPIN
2680001204MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
3505252100MEDICAIDMINNESOTA
418691OTHERNORTH DAKOTABLUE CROSS
511082OTHERNORTH DAKOTAMEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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