Active NPI
Dakota Adult & Pediatric Psychiatry
- Psychiatry Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DAKOTA ADULT & PEDIATRIC PSYCHIATRY
- Practice address
- 4541 52ND Ave S
Ste 100
Fargo, ND 58104-5565 - Phone
- (701) 552-6578
- Fax
- (701) 380-5115
- NPI assigned
- Sep 13, 2021
- Last updated
- Feb 16, 2024
- 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. Douglas James Hess, DO
- Title
- President
- Phone
- (701) 552-6578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
4541 52ND Ave S
Ste 100
Fargo, ND 58104-5565
Mailing address
4541 52ND Ave S
Ste 100
Fargo, ND 58104-5565
Phone (701) 552-6578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679864441 | Other | NPI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2262078 | Dakota Adult & Pediatric Psychiatry, PC | Certificate of waiver | Jun 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
4541 52nd Ave S
#100
Fargo, ND 58104
Phone (701) 552-6578
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Child & Adolescent Psychiatry Physician
- Fargo, ND
- NPI 1679864441
-
- Psychiatric/Mental Health Nurse Practitioner
- Fargo, ND
- NPI 1336984848
-
- Physician Assistant
- Fargo, ND
- NPI 1992012710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708041600000",
"number": "1255000170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4541 52ND AVE S",
"address_2": "STE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "581045565",
"telephone_number": "701-552-6578",
"fax_number": "701-380-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4541 52ND AVE S",
"address_2": "STE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "581045565",
"telephone_number": "701-552-6578",
"fax_number": "701-380-5115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA ADULT & PEDIATRIC PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-13",
"last_updated": "2024-02-16",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "HESS",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-552-6578",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1679864441",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
- Daigle Professional Counseling Services
- Rachel Daigle
- Rebecca Anne Daigle, LAPC
- Alishia M Daily
- Salah Dean Dajani, MD
- Dakota Boys & Girls Ranch Association (Dakota Boys Ranch Fargo RTC)
- Dakota Clinic LTD
- Dakota Clinic LTD at Innovis
- Dakota Clinic of Chiropractic, PLLC
- Dakota Clinic Pharmacy LLC (Dakota Clinic Pharmacy on Su Drive)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.