PSYCH 180 PLLC
NPI 1528808573
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dickinson, ND

Q: What is Psych 180 PLLC's NPI number?

The NPI number for Psych 180 PLLC is 1528808573. It was assigned to this organization in the NPPES registry on May 28, 2024. The provider is doing business as Psych 180.

Q: What is Psych 180 PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Psych 180 PLLC was last updated on January 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 28, 2024CLIA 35D2343500 · Waiver

30 7TH ST W, DICKINSON, ND 58601(701) 690-2360(701) 291-4747 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2026, Dec 11, 2024 (2 updates tracked since 2024).

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About Psych 180 Pllc NPPES

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

PSYCH 180 PLLC (NPI 1528808573), doing business as Psych 180, is a healthcare organization registered as a mental health (including community mental health center) in Dickinson, North Dakota and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Kelly M Chevalier, Owner, as its authorized official.

NPPES Registry Identity

NPI1528808573

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePSYCH 180 PLLC

Location Address30 7TH ST WDickinson, ND 58601-4335

Mailing Address30 7th St WDickinson, ND 58601-4335 · (208) 794-5314

Phone(701) 690-2360

Fax(701) 291-4747

Organization SubpartNo

Authorized OfficialKelly M ChevalierOwner · (701) 690-2360

Enumeration DateMay 28, 2024

Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1528808573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

30 7TH ST W, Dickinson, ND 58601

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Other Names 1

Doing Business AsPsych 180

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2343500

Psych 180, PLLC · Dickinson, ND

Active · expires May 6, 2028

CLIA Number35D2343500

Laboratory TypeIndependent

Certificate Effective DateMay 7, 2026

Certificate Expiration DateMay 6, 2028

Laboratory DirectorSyeda S. Bischoff

Laboratory Phone(701) 690-2360

Laboratory LocationPsych 180, PLLC30 7th St W, Dickinson, ND 58601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

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

ROBERTA WOCK

Physical Therapist