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SUSAN DELAP MD PROFESSIONAL CORPORATION NPI 1336454438


NPI Information

NPI: 1336454438
Provider Name: SUSAN DELAP, MD, PROFESSIONAL CORPORATION

Doing Business As: A BALANCED MIND PSYCHIATRIC WELLNESS CENTER

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4023 STATE ST
SUITE 100
BISMARCK, ND
ZIP 58503
Phone: (701) 751-3737
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SUSAN DELAP, MD, PROFESSIONAL CORPORATION is an adult mental health clinic center in Bismarck, ND. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SUSAN DELAP, MD, PROFESSIONAL CORPORATION NPI is 1336454438. The provider is registered as an organization entity type.
The provider Is Doing Business As A Balanced Mind Psychiatric Wellness Center.

The provider's business location address is:

4023 STATE ST
SUITE 100
BISMARCK, ND
ZIP 58503-690
Phone: (701) 751-3737
Fax: (701) 751-3738

The provider's authorized official is Susan Eileen Delap .
The authorized official title is Owner and has the following contact phone number (701) 751-3737.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 3/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesNo
2261QM0855XClinic/CenterAdolescent and Children Mental Health8942NORTH DAKOTANo
3261QM0850XClinic/CenterAdult Mental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121502OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
211796MEDICAIDNORTH DAKOTA

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

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