NPIMap

Organization Active NPI

Clarity Mind & Memory Clinic PLLC

  • Medical Specialty Clinic/Center
  • Bismarck, ND
National Provider Identifier
1326707753
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CLARITY MIND & MEMORY CLINIC PLLC
Practice address
3100 N 11TH St Ste 1
Bismarck, ND 58503-1210
Phone
(701) 426-5664
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Corinna Marie Glatt, AGNP-BCNPI 1396118238
Title
Vice President/Owner
Phone
(701) 426-5664

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3100 N 11TH St Ste 1
Bismarck, ND 58503-1210

Mailing address

3100 N 11TH St Ste 1
Bismarck, ND 58503-1210
Phone (701) 712-0066

Other names 1

  • Clarity Mind & Memory Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220329000321 ND Part B Supplier - Clinic/Group Practice 5799170882 Receives reassigned benefits from 6 practitioners
Practice locations: Bismarck, ND; Mandan, ND

National Provider Directory

National Provider Directory

Locations

1929 N Washington St
Ste F
Bismarck, ND 58501
Phone (701) 712-0066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26680/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1326707753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N 11TH ST STE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031210",
            "telephone_number": "701-712-0066",
            "fax_number": "701-712-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N 11TH ST STE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031210",
            "telephone_number": "701-426-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY MIND & MEMORY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "GLATT",
        "authorized_official_first_name": "CORINNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT/OWNER",
        "authorized_official_telephone_number": "701-426-5664",
        "authorized_official_credential": "AGNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarity Mind & Memory Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.