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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Jan 6, 2026, Dec 11, 2024 (3 updates tracked since 2024).

About Psych 180 Pllc NPPES

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

PSYCH 180 PLLC (NPI 1528808573) 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 · (701) 690-2360 · Fax (701) 291-4747
Phone(701) 690-2360
Fax(701) 291-4747
Organization SubpartNo
Authorized OfficialKelly M ChevalierOwner · (701) 690-2360
Enumeration DateMay 28, 2024
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1528808573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
30 7TH ST W, Dickinson, ND 58601
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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.

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
30 7TH ST W
DICKINSON, ND 58601
Stark County (701) 456-4000
ST JOSEPHS HOSPITAL & HEALTH CENTER
Psychiatry & Neurology (Psychiatry)
30 7TH ST W
DICKINSON, ND 58601
Stark County (701) 456-4308
MEGAN GIETZEN NP
Nurse Practitioner (Family)
30 7TH ST W
DICKINSON, ND 58601
Stark County (701) 483-6666
DR. JENNIFER L WAHL PHARMD
Pharmacist
30 7TH ST W
DICKINSON, ND 58601
Stark County (701) 456-4288
TERESA BLEICH
Physical Therapist
30 7TH ST W
DICKINSON, ND 58601
Stark County (701) 456-4000
MRS. TAMMY J GROSULAK CRNA
Nurse Anesthetist, Certified Registered
30 7TH ST W
DICKINSON, ND 58601
Stark County (701) 456-4000
DR. ROBERT STEVEN RIDDICK M.D.
Surgery
30 7TH ST W
DICKINSON, ND 58601
Stark County (701) 456-4387
SHELDON SWENSON MD
Emergency Medicine
30 7TH ST W
DICKINSON, ND 58601
Stark County (701) 456-4000

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 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.

Where is Psych 180 PLLC located?

Psych 180 PLLC is located at 30 7th St W, Dickinson, ND 58601. The listed phone number is (701) 690-2360.

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.

Does Psych 180 PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2343500) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Psych 180 PLLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.