Individual provider Active NPI

Brandon Saxton

  • Clinical Psychologist
  • Fergus Falls, MN
National Provider Identifier
1306316773
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP6677 Issued in MN
Practice address
125 W Lincoln Ave
Fergus Falls, MN 56537-2152
Phone
(218) 998-2992
Fax
(320) 323-4357
NPI assigned
Nov 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP6677 MN Primary

Addresses

Primary practice location

125 W Lincoln Ave
Fergus Falls, MN 56537-2152

Mailing address

1547 30TH Ave S
Moorhead, MN 56560-5149
Phone (218) 287-4338

Other practice location 1

1806 E Fir Ave Ste 200
Fergus Falls, MN 56537-3921
Phone (218) 998-2992

Other practice location 2

1041 Hawk St
Detroit Lakes, MN 56501-6958
Phone (218) 844-6853

Other practice location 3

422 Minnesota Ave
Breckenridge, MN 56520-1929
Phone (320) 421-0548

Other practice location 4

1547 30th Ave S
Moorhead, MN 56560-5149
Phone (218) 287-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915001455 MN Practitioner - Clinical Psychologist 0244636306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Dakota School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Behavioral Healthcare Professionals PCGroup PAC ID 0345209524, 30 clinicians

Practice addresses (Care Compare)

1041 Hawk St
Detroit Lakes, MN 56501-6958
Phone (218) 844-6853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP6677MNMDClinical Psychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1306316773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605149",
            "telephone_number": "218-287-4338",
            "fax_number": "218-287-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372152",
            "telephone_number": "218-998-2992",
            "fax_number": "320-323-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 E Fir Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565373921",
            "country_code": "US",
            "telephone_number": "218-998-2992",
            "fax_number": "320-323-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 Hawk St",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565016958",
            "country_code": "US",
            "telephone_number": "218-844-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 Minnesota Ave",
            "address_purpose": "LOCATION",
            "city": "Breckenridge",
            "state": "MN",
            "postal_code": "565201929",
            "country_code": "US",
            "telephone_number": "320-421-0548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1547 30th Ave S",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605149",
            "country_code": "US",
            "telephone_number": "218-287-4338",
            "fax_number": "218-287-5928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAXTON",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.