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DR. KENNETH M CARLSON PH.D.
NPI 1205866472
Psychologist - Clinical in Grand Forks, ND

Active since July 04, 2006
2808 17TH AVE S, GRAND FORKS, ND 58201(701) 746-8376(701) 746-9872 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth M Carlson Ph.d. NPPES

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

DR. KENNETH M CARLSON PH.D. (NPI 1205866472) is an individual clinical provider in Grand Forks, North Dakota, licensed in North Dakota (80) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205866472
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNETH M CARLSONCredential: PH.D.
Location Address2808 17TH AVE SGrand Forks, ND 58201-4010
Mailing Address2808 17th Ave SGrand Forks, ND 58201-4010 · (701) 746-8376 · Fax (701) 746-9872
Phone(701) 746-8376
Fax(701) 746-9872
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1205866472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in ND · 80
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.
2808 17TH AVE S, Grand Forks, ND 58201
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Other Identifiers 3

Medicaid16926ND
Medicare ID-Type Unspecified5222ND · North Dakota Medicare
Medicare UPINR02212ND

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN E WHALEN PH.D.
Psychologist (Clinical)
2808 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 746-8376
LIPP, CARLSON, WITUCKI & ASSOCIATES, LTD
Psychologist (Clinical)
2808 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 746-8376
AMANDA MARIE BLAKE LICSW, MSSW
Social Worker (Clinical)
2808 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 738-8363
DR. DAVID P LOMMEN PH.D.
Psychologist (Clinical)
2808 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 746-8376
JOHN A CAMPBELL PH.D., LP
Psychologist
2808 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 746-8376
SUSAN A SPIVEY LICSW
Social Worker (Clinical)
2808 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 746-8376
DR. MALVA F WATERS PH.D.
Psychologist (Clinical)
2808 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 746-8376
MRS. HOLLY J WOLF PH.D.
Psychologist (Clinical)
2808 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 746-8376

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 Kenneth Carlson's NPI number?

The NPI number for Kenneth Carlson is 1205866472. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Kenneth Carlson located?

Kenneth Carlson practices at 2808 17th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 746-8376.

What is Kenneth Carlson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Carlson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.