Sara D Quam, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

3220 18TH St S Ste 4
Fargo, ND 58104-6564

Phone

(701) 248-9295

NPI assigned

Aug 25, 2006

Last updated

Jan 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aspire Psychological and Consulting Service PLLC

  • Clinic/Center
  • Fargo, ND
  • NPI 1780313544
  NPD Authorized official
• Krislea Wegner PHD

  dba Wegner Pyschological Therapeutic Services

  • Psychologist
  • Fargo, ND
  • NPI 1245675362
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1255449989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 18TH ST S",
            "address_2": "STE 4",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046564",
            "telephone_number": "701-248-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 18TH ST S STE 4",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046564",
            "telephone_number": "701-248-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAM",
        "first_name": "SARA",
        "middle_name": "D",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1461754",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Quale, CCC-SLP
• Mary J Qualey, RPH
• April Alisa Qualley, APRN, CNP
• Madeline Qualley
• Joan Quam, APRN NP
• Dustynn Quiggle, RN
• Kayla Marie Quinn, APRN
• Matt Quinn
• Marilyn Arechiga Quintero, LPC
• Joy M Quitberg, O.D.

• Psychologist in Fargo, ND
• Providers in Fargo, ND by specialty
• Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.