| Knowlton, O'neill & Associates, P.c. | |
|
1401 13th Ave E West Fargo ND 58078-3468 | |
| (701) 364-0060 | |
| (701) 364-0065 |
| Full Name | Knowlton, O'neill & Associates, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1401 13th Ave E, West Fargo, North Dakota |
| Authorized Official Name and Position | Holly Hegstad (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7013640060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knowlton, O'neill & Associates, P.c. 1401 13th Ave E West Fargo ND 58078-3468 Ph: (701) 364-0060 | Knowlton, O'neill & Associates, P.c. 1401 13th Ave E West Fargo ND 58078-3468 Ph: (701) 364-0060 |
| NPI Number | 1538198759 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 7214924679 |
|---|---|
| Medicare Enrollment ID | O20040428000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538198759 | NPI | - | NPPES |
| 010742500 | Medicaid | MN | |
| 266S2KN | Other | MN | BCBS-MN GROUP # |
| 85532 | Other | HEALTHPARTNERS GROUP # | |
| 056356001 | Other | ND | BCBS-ND CLINIC # |
| 12045 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Holly J Hegstad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720058852 PECOS PAC ID: 0446240006 Enrollment ID: I20040514001111 |
| Provider Name | Anne Georgina Cushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265475305 PECOS PAC ID: 3072578939 Enrollment ID: I20041119001114 |
| Provider Name | Jenny K Frissell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467555078 PECOS PAC ID: 5698811925 Enrollment ID: I20090930000189 |
| Provider Name | Brenda L Bratton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073682902 PECOS PAC ID: 6901948421 Enrollment ID: I20100121000824 |
| Provider Name | Naveed Haider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831117480 PECOS PAC ID: 8921294588 Enrollment ID: I20101122000370 |
| Provider Name | Glenn Edward Knowlton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063482297 PECOS PAC ID: 2466449822 Enrollment ID: I20110218000047 |
| Provider Name | Katherine M Schjeldahl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083056592 PECOS PAC ID: 5597982918 Enrollment ID: I20140808000503 |
| Provider Name | Fiana Sachi England |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023550951 PECOS PAC ID: 9537449590 Enrollment ID: I20161208000766 |
| Provider Name | Caitlin A Pollestad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437662640 PECOS PAC ID: 6002175908 Enrollment ID: I20180123001769 |
| Provider Name | Angela B Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871827329 PECOS PAC ID: 7618379876 Enrollment ID: I20210709001676 |
| Provider Name | Cassandra Matejka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336711068 PECOS PAC ID: 4385093186 Enrollment ID: I20231205002703 |
Red River Human Services Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1689 6th St W, West Fargo, ND 58078 Phone: 701-532-3417 | |
North Dakota Autism Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 13th Ave E, Ste A, West Fargo, ND 58078 Phone: 701-277-8844 Fax: 701-277-8847 | |
Lotus Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Oak Ridge Way E Ste 4, West Fargo, ND 58078 Phone: 701-219-5957 | |
Red River Human Services Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 6th St W, West Fargo, ND 58078 Phone: 701-532-3418 | |
30:17 Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 Main Ave E, West Fargo, ND 58078 Phone: 701-541-0313 | |
Resilient At Kd Consulting And Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Oak Ridge Loop E Ste 3, West Fargo, ND 58078 Phone: 701-430-9888 | |
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