DAKOTA CLINIC LTD NPI 1558451757

NPI Information

NPI: 1558451757
Provider Name: DAKOTA CLINIC, LTD

Doing Business As: DAKOTA CLINIC, LTD.

Classification: Psychologist - 103TF0000X
Entity Type: Organization

Specialization: Family

Address:
1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 364-3300
Get Directions

DAKOTA CLINIC, LTD is a family psychologist in Fargo, ND. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. DAKOTA CLINIC, LTD NPI is 1558451757. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dakota Clinic, Ltd..

The provider's business location address is:

1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103-940
Phone: (701) 364-3300
Fax: (701) 364-8906

The provider's authorized official is Larry G Solberg .
The authorized official title is Administrator-authorized Official and has the following contact phone number (701) 364-3405.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/22/2020.

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 State	Primary
1	103TF0000X	Psychologist	Family	NORTH DAKOTA	Yes
2	111N00000X	Chiropractor		NORTH DAKOTA	X
3	133NN1002X	Nutritionist	Nutrition, Education	NORTH DAKOTA	X
4	152W00000X	Optometrist		NORTH DAKOTA	X
5	163W00000X	Registered Nurse		NORTH DAKOTA	X
6	207Q00000X	Family Medicine		NORTH DAKOTA	X
7	213E00000X	Podiatrist		NORTH DAKOTA	X
8	225100000X	Physical Therapist		NORTH DAKOTA	X
9	235Z00000X	Speech-Language Pathologist		NORTH DAKOTA	X
10	2471M2300X	Radiologic Technologist	Mammography	NORTH DAKOTA	X
11	363A00000X	Physician Assistant		NORTH DAKOTA	X

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	10046	MEDICAID	NORTH 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

NPI Synchronization or Removal

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