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KELLY L BISHOP-DIAZ PH.D.
NPI 1891856860
Psychologist - Clinical in Grand Forks, ND

Active since December 13, 2006PECOS Enrolled
2285 STAR S AVE, GRAND FORKS, ND 58201(701) 330-8210(701) 330-8210 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly L Bishop-diaz Ph.d. NPPES

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

KELLY L BISHOP-DIAZ PH.D. (NPI 1891856860) is an individual clinical provider in Grand Forks, North Dakota, licensed in North Dakota (513) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891856860
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY L BISHOP-DIAZCredential: PH.D.
Location Address2285 STAR S AVEGrand Forks, ND 58201-3478
Mailing Address2285 Star S AveGrand Forks, ND 58201-3478 · (701) 330-8210
Phone(701) 330-8210
Fax(701) 330-8210
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 3, 2015
✔ NPI 1891856860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in ND · 513✔ Licensed in TN · 2616
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.
2285 STAR S AVE, Grand Forks, ND 58201
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Other Identifiers 1

Other4107555TN · Bcbs Tn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly L Bishop-diaz Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelly Bishop-diaz's NPI number?

The NPI number for Kelly Bishop-diaz is 1891856860. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Kelly Bishop-diaz located?

Kelly Bishop-diaz practices at 2285 Star S Ave, Grand Forks, ND 58201. The listed phone number is (701) 330-8210.

What is Kelly Bishop-diaz's specialty?

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

Is Kelly Bishop-diaz enrolled in Medicare?

Yes. Kelly Bishop-diaz is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Bishop-diaz accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kelly Bishop-diaz 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 Kelly Bishop-diaz was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.