Healthcare Provider Details

I. General information

NPI: 1477508034
Provider Name (Legal Business Name): PSYCHIATRIC SERVICES P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 2ND AVE SW SUITE 27
MINOT ND
58701-3459
US

IV. Provider business mailing address

1600 2ND AVE SW SUITE 27
MINOT ND
58701-3459
US

V. Phone/Fax

Practice location:
  • Phone: 701-852-8798
  • Fax: 701-837-5410
Mailing address:
  • Phone: 701-852-8798
  • Fax: 701-837-5410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number466111501131
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number10
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number6341
License Number StateND
# 4
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR20273
License Number StateND

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier010500
Identifier TypeMEDICAID
Identifier StateND
Identifier Issuer

VIII. Authorized Official

Name: DR. LLOYD MARK BELL
Title or Position: OWNER/PRESIDENT
Credential: D.O.
Phone: 701-852-8798