PSYCHOLOGICAL SERVICES P.C. NPI 1164624458

NPI Information

NPI: 1164624458
Provider Name: PSYCHOLOGICAL SERVICES, P.C.
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 600 22ND AVE NW
NORTHLAND PROFESSIONAL BUILDING
MINOT, ND
ZIP 58703
Phone: (701) 852-9113

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NPI Details

PSYCHOLOGICAL SERVICES, P.C. is a mental health (including community mental health center) clinic center in Minot, ND. PSYCHOLOGICAL SERVICES, P.C. NPI is 1164624458. The provider is registered as an organization entity type.

The provider's business location address is:

600 22ND AVE NW
NORTHLAND PROFESSIONAL BUILDING
MINOT, ND
ZIP 58703-986
Phone: (701) 852-9113
Fax: (701) 838-0779

The provider's authorized official is Stephan Podrygula .
The authorized official title is President and has the following contact phone number (701) 852-9113.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 2/27/2009.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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
1	R02220	MEDICARE UPIN	NORTH DAKOTA
2	5241	OTHER	NORTH DAKOTA	BCBS OF ND
3	16946	MEDICAID	NORTH DAKOTA

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: 11/21/2025

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