Access of the Red River Valley

Key facts

NPI

1184774622

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Psychologist 103TC0700X

License

245 B-CR (MN)

Legal business name

ACCESS OF THE RED RIVER VALLEY

Practice address

403 Center Ave
Moorhead, MN 56560-1975

Phone

(218) 233-3991

NPI assigned

Jan 10, 2007

Organization subpart

No

Authorized official

Name

Sharon Staton NPI 1043360514

Title

Executive Director

Phone

(218) 233-3991

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

• Sharon Staton Clinical Social Worker · Moorhead, MN · NPI 1043360514
  NPD (past) Authorized official
• Ronald Odden Clinical Psychologist · Moorhead, MN · NPI 1366591877
  NPD (past) CLINICAL

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2008.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1184774622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CENTER AVE",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CENTER AVE",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601975",
            "telephone_number": "218-233-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS OF THE RED RIVER VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-233-3991"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "245 B-CR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

• A Place for Hope: Recovery and Wellness Center
• Fahmo M Abdi
• Halimo Abdi
• Ahmed M Abdulahi
• Ritchell E Aboah
• Access of the Red River Valley Inc
• Brock Ackerman
• Maxwell Ackerman
• Teresa Adamson
• Khadija Adan

All providers in Moorhead, MN · Clinical Psychologist in Minnesota