Active NPI
Ani Celine Mangold, PHD, LP
- Clinical Psychologist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 653
- Practice address
- 1635 43Rd St S Ste 105
Fargo, ND 58103-3579 - Phone
- (218) 287-4338
- NPI assigned
- Jul 11, 2023
- Last updated
- Sep 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 653 | ND | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X |
Addresses
Primary practice location
1635 43Rd St S Ste 105
Fargo, ND 58103-3579
Mailing address
1547 30TH Ave S
Moorhead, MN 56560-5149
Other names 1
- Dr. Annie Celine Mangold
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1547 30TH Ave S
Moorhead, MN 56560-5149
Phone (218) 287-4338
1635 43Rd St S
Suite 105
Fargo, ND 58103-3579
Phone (701) 412-2973
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653 | ND | MD | Massage Therapist |
| 634 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ani Mangold Psychological Services PLLC | Current | Accepting new patients | |
| Solutions Behavioral Healthcare Professionals, PC | Psychologist | Current | Accepting new patients |
Locations
1547 30th Ave S
Moorhead, MN 56560
Phone 21828743381113
4503 Coleman St
Ste 203
Bismarck, ND 58503
Phone (701) 412-2973
1635 43rd St S
Ste 105
Fargo, ND 58103
Phone (701) 412-2973
2534 University Dr S
Ste 3
Fargo, ND 58103
Phone (701) 293-0751
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Solutions Behavioral Healthcare Professionals
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moorhead, MN
- NPI 1801909239
ND, Psychologist
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1609684414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1033898762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 30TH AVE S",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 43RD ST S STE 105",
"city": "FARGO",
"state": "ND",
"postal_code": "581033579",
"telephone_number": "218-287-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGOLD",
"first_name": "ANI",
"middle_name": "CELINE",
"name_prefix": "Dr.",
"credential": "PHD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "653",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "MANGOLD",
"middle_name": "CELINE",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.