| Susan Elaine Cassatt, PHD, LP | |
|
5354 42nd St S Ste B, Fargo, ND 58104-4032 | |
| (701) 501-8014 | |
| (701) 941-4504 |
| Full Name | Susan Elaine Cassatt |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 5354 42nd St S Ste B, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831379767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4879 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 515 (North Dakota) | Primary |
| Entity Name | Lake Region Human Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669411930 PECOS PAC ID: 8426941436 Enrollment ID: O20040204000457 |
| Entity Name | Psj Acquisition Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679709802 PECOS PAC ID: 7012062235 Enrollment ID: O20090918000240 |
| Entity Name | Lifewise Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871088674 PECOS PAC ID: 2264784008 Enrollment ID: O20190625002236 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Elaine Cassatt, PHD, LP 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Susan Elaine Cassatt, PHD, LP 5354 42nd St S Ste B, Fargo, ND 58104-4032 Ph: (701) 501-8014 |
Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400 | |
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000 | |
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024 | |
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164 | |
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1635 43rd St S Ste 105, Fargo, ND 58103 Phone: 218-287-4338 | |
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014 | |
Jay Robert Phillippi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071 |