PSJ ACQUISITION LLC (NPI# 1679709802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679709802 |
| Entity Type | Organization |
| Organization Name | PSJ ACQUISITION LLC |
| Practice Address |
510 4th St S Fargo ND 58103 |
| Practice Telephone | 7014767200 |
| Practice Fax Number | 7012805789 |
| Mailing Telephone | 7014767200 |
| Mailing Fax Number | 7012805789 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | STEVE FILTON (SRVP CFO) |
| Authorized Official Telephone | 6106783300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 11051 | 05 | |
| MN | 99725100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720454267 | Psj Acquisition LLC | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2015-08-19 |
| Street Address |
510 4TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417901000 | Prairie St Johns | Psychiatric Hospital | 510 4th St S, Fargo, ND 58103-1914 | 2006-05-19 |
| 1083259824 | Cheryl Melbye | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2019-11-15 |
| 1881250884 | Anna Sebastian-wilson | Registered Nurse | 510 4th St S, Fargo, ND 58103-1914 | 2019-05-15 |
| 1861967440 | Aline Bernardine Muhimpundu | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2018-10-10 |
| 1467937573 | Mandy Jo Hofland | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2018-09-25 |
| 1083111892 | Amanda Lee Richter | Social Worker | 510 4th St S, Fargo, ND 58103-1914 | 2018-04-09 |
| 1780197095 | Paige Joann Robillard | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2017-11-08 |
| 1225581747 | Laura Kathryn Johnson | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2016-08-02 |
| 1043763220 | Ashley Bishop | Nurse Practitioner | 510 4th St S, Fargo, ND 58103-1914 | 2016-07-25 |
| 1720454267 | Psj Acquisition LLC | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2015-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417901000 | Prairie St Johns | Psychiatric Hospital | 510 4th St S, Fargo, ND 58103-1914 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137389 | Richard P Stadter Psychiatric Center, LLC | Psychiatric Hospital | 1451 44th Ave S Ste A, Grand Forks, ND 58201-3434 | 2006-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.