Spheralis

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SPHERALIS

Practice address

3120 33Rd St S Apt 202
Fargo, ND 58103-7830

Phone

(818) 300-6430

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Ruth Ivanov, QDDP

Title

Ceo

Phone

(818) 300-6430

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1154200673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 33RD ST S APT 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037830",
            "telephone_number": "818-300-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 33RD ST S APT 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037830",
            "telephone_number": "818-300-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPHERALIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-300-6430",
        "authorized_official_credential": "QDDP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Douglas Spears
• Stephen J Spellman, MD
• Megan L Spencer, PSYD
• Speranza LLC
• Eve Elizebeth Sperry
• Jodi Marie Spicer, PT
• Taylor Spicer
• Kim Spiczka
• Nicole Danielle Spidahl, RN
• Joann Spiering, LAC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fargo, ND
• Providers in Fargo, ND by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.