VOLK HUMAN SERVICES, PC NPI 1003009457

Psychologist (Clinical) in Devils Lake, ND

About VOLK HUMAN SERVICES, PC

Volk Human Services, Pc is a provider in Devils Lake, ND. The NPI number assigned to this provider is 1003009457. The practitioner's primary taxonomy code is Psychologist (103TC0700X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Volk Human Services, Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003009457 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameVOLK HUMAN SERVICES, PC
Provider Location Address501 3RD ST NE STE 1 DEVILS LAKE, ND 58301 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address501 3RD ST NE STE 1 DEVILS LAKE, ND 58301 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-20-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-20-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

VOLK HUMAN SERVICES, PC
501 3RD ST NE STE 1
DEVILS LAKE, ND
ZIP 58301
Phone: (701) 662-1911
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Mailing Address

VOLK HUMAN SERVICES, PC
501 3RD ST NE STE 1
DEVILS LAKE, ND
ZIP 58301
Phone: (701) 662-1911

Primary Taxonomy

Taxonomy Code103TC0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.269
License StateND

Authorized Official

Authorized Official Name TARA RHAE AVDEM Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleBUSINESS MANAGER
Authorized Official Phone(701) 662-1911

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1560-01OTHER (01)
14236MEDICAID (05)ND

Map Location


VOLK HUMAN SERVICES, PC address is 501 3RD ST NE STE 1 DEVILS LAKE, ND 58301

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093811473 GREGORY S VOLK PSY D
Individual
Psychologist (Clinical)501 3RD ST NE STE 1
DEVILS LAKE, ND 58301
(701) 662-1911
1326144791 DEBORAH L HANSON LICSW
Individual
Social Worker (Clinical)501 3RD ST NE STE 1
DEVILS LAKE, ND 58301
(701) 662-1911
1902902356VOLK HUMAN SERVICES
Organization
Psychologist (Clinical)501 3RD ST NE STE 1
DEVILS LAKE, ND 58301
(701) 662-1911