PSYCH 180 PLLC
NPI 1528808573
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dickinson, ND
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
Specialties & Licenses 2
Other Names 1
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)
Psych 180 Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Psych 180 PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NDFrequently 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. The provider is doing business as Psych 180.
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.
Is Psych 180 PLLC enrolled in Medicare?
Yes. Psych 180 PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Psych 180 PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Psych 180 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Psych 180 PLLC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Psych 180 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 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 2 months 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.
# Psych 180 Pllc · NPI 1528808573
Mental Health (Including Community Mental Health Center) organization in Dickinson, North Dakota. Organization record, active in the CMS NPPES registry since May 28, 2024.
## Identity
- **NPI:** 1528808573 (Entity type: Organization)
- **Enumerated:** May 28, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Psych 180 (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kelly Chevalier, OWNER
## Practice location
- **Address:** 30 7TH ST W, Dickinson, ND 58601-4335
- **Phone:** (701) 690-2360 · **Fax:** (701) 291-4747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Psychologist (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528808573) · Data from the CMS NPPES public registry.