Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255605762 Individual Practitioner Female Practitioner

Dr. Stephanie J Corneliussen , PsyD

Psychologist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Corneliussen, PsyD is a registered healthcare professional specializing in Psychologist in Fargo, ND. Practice services are available at 100 4TH ST S under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 4th St S

Fargo, ND 581031929

Telephone 7012343100
Associated Practice Facility / Clinic
🏢 William C Porter Md Ltd Facility NPI 1124058326

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
53 Specialists

Practicing in Fargo, ND (147 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
40 12 $109.00 $85.38

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
16885 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Tiffany Doyle , MD

Psychiatry & Neurology - Psychiatry

NPI 1023370061

Doctor of Medicine (M.D.)

Tracy Foldesi-Penas , MSW

Social Worker - Clinical

NPI 1043237902

Master of Social Work

Kathryn Cameron , CNS

Psychiatry & Neurology - Psychiatry

NPI 1104844844

Clinical Nurse Specialist

Dr. Daniel Almquist , MD

Internal Medicine - Hematology & Oncology

NPI 1134533805

Doctor of Medicine (M.D.)

Carole Halone , LICSW

Social Worker - Clinical

NPI 1144323700

Licensed Independent Clinical Social Worker

Dr. Phyllis Eason , MD

Psychiatry & Neurology - Psychiatry

NPI 1174596746

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2012

Registered at 100 4TH ST S, FARGO, ND 581031929 (Tel: 7012343100)

📍
Updated Business Mailing Address July 26, 2012

Registered at PO BOX 2168, FARGO, ND 581072168 (Tel: 7012343100)

👤
Provider Name / Credentials Updated July 26, 2012

Recorded as STEPHANIE CORNELIUSSEN, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2012

Psychologist

🟢
Initial NPI Registration & Enumeration March 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255605762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2012
Last Update: July 26, 2012
Sole Proprietor: No

Mailing Address

Po Box 2168

Fargo, ND 581072168

Phone: 7012343100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.