PRACTICE PLACE, PLLC
NPI 1184283541
Psychologist - Clinical in Grand Forks, ND

Active since June 10, 2019
2534 17TH AVE S STE E, GRAND FORKS, ND 58201(208) 406-9794 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2024, Oct 30, 2019, Oct 15, 2019 and 1 more (4 updates tracked since 2019).

About Practice Place, Pllc NPPES

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

PRACTICE PLACE, PLLC (NPI 1184283541) is a healthcare organization registered as a clinical in Grand Forks, North Dakota and active in the NPI registry since June 2019. The organization lists Sherman Maurice Normandin, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1184283541
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePRACTICE PLACE, PLLC
Location Address2534 17TH AVE S STE EGrand Forks, ND 58201-5215
Mailing Address2534 17th Ave S Ste EGrand Forks, ND 58201-5215 · (701) 885-4551
Organization SubpartNo
Authorized OfficialSherman Maurice NormandinPsychologist · (701) 885-4551
Enumeration DateJune 10, 2019
Last NPPES UpdateJuly 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1184283541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2534 17TH AVE S STE E, Grand Forks, ND 58201

Other Identifiers 3

Medicaid1083630974ND
Medicaid1033210570ND
Medicaid1124128756ND

Group Practice 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Practice Place, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Practice Place, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1043945397
2534 17TH AVE S STE E
Grand Forks, ND 58201
(701) 885-4551
✔ PECOSSame address
Clinical Psychologist
NPI 1033210570
2100 SOUTH COLUMBIA ROAD SUITE 202
Grand Forks, ND 58201
(701) 772-1588
✔ PECOS0.3 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 Practice Place, PLLC's NPI number?

The NPI number for Practice Place, PLLC is 1184283541. It was assigned to this organization in the NPPES registry on June 10, 2019.

Where is Practice Place, PLLC located?

Practice Place, PLLC is located at 2534 17th Ave S Ste E, Grand Forks, ND 58201. The listed phone number is (208) 406-9794.

What is Practice Place, PLLC's specialty?

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

Is Practice Place, PLLC enrolled in Medicare?

Yes. Practice Place, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Practice Place, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Practice Place, PLLC, in Clinical Psychologist and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Practice Place, PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Practice Place, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Practice Place, PLLC was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.