STEFANIE ULRIKE HANISCH MD NPI 1447350400

NPI Information

NPI: 1447350400
Provider Name: STEFANIE ULRIKE HANISCH, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
100 4TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 234-4141
Get Directions

Stefanie Ulrike Hanisch, MD is a child and adolescent psychiatry psychiatry neurology in Fargo, ND. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Stefanie Ulrike Hanisch, MD NPI is 1447350400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 4TH ST S
FARGO, ND
ZIP 58103-929
Phone: (701) 234-4141
Fax: (701) 234-4024

The NPI 1447350400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 12/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	45431	MINNESOTA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	9460	NORTH DAKOTA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	9460	NORTH DAKOTA	Yes
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	45431	MINNESOTA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	28773	OTHER	NORTH DAKOTA	ND BCBS
2	HP51767	OTHER		HEALTHPARTNERS
3	N712882	MEDICARE PIN	NORTH DAKOTA
4	12303	MEDICAID	NORTH DAKOTA
5	318605900	MEDICAID	MINNESOTA
6	858K6HA	OTHER	MINNESOTA	MN BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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