| Dr Johna C Hartnell, PHD | |
|
10 North River Road, Phs Indian Health Service, Fort Yates, ND 58538-0797 | |
| (701) 854-3831 | |
| (701) 854-3844 |
| Full Name | Dr Johna C Hartnell |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 10 North River Road, Fort Yates, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558377796 | NPI | - | NPPES |
| 81613 | Medicaid | ND | |
| 000684106 | Other | WI | MEDICARE |
| HSZI31ZJSB | Other | ND | INDIAN HEALTH SERVICE |
| 39035300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1129 (New Mexico) | Secondary |
| 103T00000X | Psychologist | 1116-57 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 0035 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johna C Hartnell, PHD Po Box J, Phs Indian Health Service, Dir. Behavioral Health, Fort Yates, ND 58538-0527 Ph: (701) 854-8276 | Dr Johna C Hartnell, PHD 10 North River Road, Phs Indian Health Service, Fort Yates, ND 58538-0797 Ph: (701) 854-3831 |
Tami Decoteau, PHD Psychologist Medicare: Medicare Enrolled Practice Location: Indian Health Service, N10 Agency Street, Fort Yates, ND 58538 Phone: 605-854-8265 | |
Dr. Michael Trahan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Standing Rock Ave, Fort Yates, ND 58538 Phone: 701-854-8227 |