Active NPI
Attentive Mind Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
National Provider Identifier
1053623926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 7991
- Legal business name
- ATTENTIVE MIND CORPORATION
- Practice address
- 2902 University Dr S
Fargo, ND 58103-6053 - Phone
- (701) 364-9723
- Fax
- (701) 364-9870
- NPI assigned
- Jul 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachel Fleissner, MD
- Title
- President
- Phone
- (701) 364-9723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 7991 | ND | Primary |
Addresses
Primary practice location
2902 University Dr S
Fargo, ND 58103-6053
Mailing address
2902 University Dr S
Fargo, ND 58103-6053
Phone (701) 364-9723
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310601600000",
"number": "1053623926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036053",
"telephone_number": "701-364-9723",
"fax_number": "701-364-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036053",
"telephone_number": "701-364-9723",
"fax_number": "701-364-9870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATTENTIVE MIND CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-08",
"last_updated": "2011-07-14",
"status": "A",
"authorized_official_last_name": "FLEISSNER",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-364-9723",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "ND",
"license": "7991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 14, 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.