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CHAMBERS & BLOHM PSYCHOLOGICAL
NPI 1114045465
Psychologist - Clinical in Bismarck, ND

Active since March 26, 2007
309 N MANDAN ST STE 1, BISMARCK, ND 58501(701) 323-0924(701) 323-0935 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chambers & Blohm Psychological NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMBERS & BLOHM PSYCHOLOGICAL (NPI 1114045465) is a healthcare organization registered as a clinical in Bismarck, North Dakota and active in the NPI registry since March 2007. The organization lists Kathy Blohm, Owner, as its authorized official.

NPPES Registry Identity

NPI1114045465
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCHAMBERS & BLOHM PSYCHOLOGICAL
Location Address309 N MANDAN ST STE 1Bismarck, ND 58501-3886
Mailing Address309 N Mandan St Ste 1Bismarck, ND 58501-3886 · (701) 323-0924 · Fax (701) 323-0935
Phone(701) 323-0924
Fax(701) 323-0935
Organization SubpartNo
Authorized OfficialKathy BlohmOwner · (701) 323-0924
Enumeration DateMarch 26, 2007
Last NPPES UpdateApril 1, 2019
✔ NPI 1114045465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
309 N MANDAN ST STE 1, Bismarck, ND 58501
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Other Identifiers 2

Medicaid12294ND
Other2045001ND · Bcbs Of North Dakota

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chambers & Blohm Psychological is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Chambers & Blohm Psychological, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Michelle Fortney, APRN, PMHCNS
Certified Clinical Nurse Specialist (CNS)
NPI 1174858468
309 N MANDAN ST, STE 1
Bismarck, ND 58501
(701) 323-0924
✔ PECOS✔ Accepts MedicareSame address
Alek Krumm, PHD
Clinical Psychologist
NPI 1437725827
309 N MANDAN ST
Bismarck, ND 58501
(701) 323-0924
✔ PECOS✔ Accepts MedicareSame address
Shannon Weisz, PSYD, LAC
Clinical Psychologist
NPI 1730254418
309 N MANDAN ST SUITE #1
Bismarck, ND 58501
(701) 323-0924
✔ PECOS✔ Accepts MedicareSame address
Lauree Hellman, APRN, PMHCNS
Certified Clinical Nurse Specialist (CNS)
NPI 1962635078
309 NORTH MANDAN STREET, SUITE 1
Bismarck, ND 58501
(701) 323-0924
✔ PECOS✔ Accepts MedicareSame address
Kathy Blohm, PHD
Clinical Psychologist
NPI 1225153968
1701 BURNT BOAT DR SECOND FLOOR
Bismarck, ND 58503
(701) 323-0924
✔ PECOS✔ Accepts Medicare2.0 mi
Gabriela Balf, MD, MPH
Psychiatry
NPI 1124024724
700 WEST AVE S
La Crosse, WI 54601
(608) 785-0940
✔ PECOS✔ Accepts Medicare509 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chambers & Blohm Psychological's NPI number?

The NPI number for Chambers & Blohm Psychological is 1114045465. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Chambers & Blohm Psychological located?

Chambers & Blohm Psychological is located at 309 N Mandan St Ste 1, Bismarck, ND 58501. The listed phone number is (701) 323-0924.

What is Chambers & Blohm Psychological's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Chambers & Blohm Psychological enrolled in Medicare?

Yes. Chambers & Blohm Psychological is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chambers & Blohm Psychological?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Chambers & Blohm Psychological. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (3), Certified Clinical Nurse Specialist (CNS) (2) and Psychiatry (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chambers & Blohm Psychological was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.