SCOTT V STERNHAGEN (NPI# 1821019043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821019043 |
Entity Type | Individual |
Full Name | SCOTT V STERNHAGEN |
Credential | PHD |
Practice Address |
112 University Dr N Suite 200 Fargo ND 58102-4661 |
Practice Telephone | 7015665272 |
Mailing Telephone | 7015665272 |
Enumeration Date | 2006-07-22 |
Last Update Date | 2014-04-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
239 | ND | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 17790 | 05 |
Street Address |
112 UNIVERSITY DR N SUITE 200 |
City | FARGO |
State | ND |
Zip Code | 58102-4661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679036784 | Enable Aba Services Pllc | Behavioral Analyst | 112 University Dr N, Fargo, ND 58102-4661 | 2019-04-08 |
1851728471 | Avail Psychological and Addiction Services Pllc | Psychologist | 112 University Dr N, Suite 200, Fargo, ND 58102-4661 | 2013-09-27 |
1710284120 | Jessica Karjalainen | Counselor | 112 University Dr N, Suite 200, Fargo, ND 58102-4661 | 2011-02-21 |
1437460334 | Miranda Cathleen Larson | Massage Therapist | 112 University Dr N, Ste 316, Fargo, ND 58102-4661 | 2010-06-24 |
1922187392 | Brenda J. Haugstad | Massage Therapist | 112 University Dr N, Suite L-139, Fargo, ND 58102-4661 | 2006-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
Find all providers in zip 58102 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013542182 | Nicola Ashton Herting | Psychologist | 100 4th St S Ste 302, Fargo, ND 58103-1937 | 2020-03-09 |
1669743977 | Scott Ressler | Psychologist | 3678 Taylor St S, Fargo, ND 58104-7588 | 2012-01-18 |
1679873525 | Jessica Ann Hurdelbrink Jones | Psychologist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2010-10-26 |
1467555078 | Jenny Kathryn Frissell | Psychologist | 510 4 St S, Fargo, ND 58103 | 2006-09-07 |
1699878256 | Kevin Makay Schumacher | Psychologist | 3120 25th St S Ste Z, #340, Fargo, ND 58103-6164 | 2006-09-07 |
1346210499 | Meryl G Willert | Psychologist | 300 45th St Sw, Suite 311, Fargo, ND 58103-1189 | 2006-01-23 |
1821068966 | Wayne D Samuelson | Psychologist | 1351 Page Dr S Ste 105, Fargo, ND 58103-3536 | 2006-01-23 |
1750923033 | Samantha J. Tupy | Psychologist | 2101 Elm St N, Fargo, ND 58102-2417 | 2019-10-08 |
1982168589 | Kathryn Gordon | Psychologist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-01-28 |
1801399456 | Courtney Grace Stufflebeam | Psychologist | 2101 Elm St N, Fargo, ND 58102-2417 | 2018-03-09 |
Find all providers in FARGO |
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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.