NPIMap

Organization Active NPI

Family Institute, PC

  • Clinical Psychologist
  • Grand Forks, ND
National Provider Identifier
1003832783
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
184 Issued in ND
Legal business name
FAMILY INSTITUTE, PC
Practice address
2100 S Columbia Rd
Suite 202
Grand Forks, ND 58201-5895
Phone
(701) 772-1588
Fax
(701) 746-6077
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. April Rain Bradley, PH.D.
Title
President
Phone
(701) 772-1588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 184 ND Primary

Addresses

Primary practice location

2100 S Columbia Rd
Suite 202
Grand Forks, ND 58201-5895

Mailing address

2100 S Columbia Rd
Suite 202
Grand Forks, ND 58201-5895
Phone (701) 772-1588

Other identifiers 1

IdentifierTypeStateIssuer
18321MedicaidND

National Provider Directory

National Provider Directory

Locations

4955 17th Ave S
Ste 122
Fargo, ND 58103
Phone (701) 532-1353

2100 S Columbia Rd
Ste 202
Grand Forks, ND 58201
Phone (701) 772-1588

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1003832783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S COLUMBIA RD",
            "address_2": "SUITE 202",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015895",
            "telephone_number": "701-772-1588",
            "fax_number": "701-746-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S COLUMBIA RD",
            "address_2": "SUITE 202",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015895",
            "telephone_number": "701-772-1588",
            "fax_number": "701-746-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "RAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-772-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18321",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.