NPIMap

Organization Active NPI

Northport Medical Inc.

Doing business as Fargo Psychiatric Clinic

  • Adult Mental Health Clinic/Center
  • Fargo, ND
National Provider Identifier
1396915120
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6528 Issued in ND
Legal business name
NORTHPORT MEDICAL INC.
Doing business as
Fargo Psychiatric Clinic
Practice address
2704 Broadway N
Suite C
Fargo, ND 58102-1487
Phone
(701) 232-3100
Fax
(701) 232-3135
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Dr. Harjinder K Virdee, M.D.NPI 1134260482
Title
Psychiatrist
Phone
(701) 232-3100

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
Adult Mental Health Clinic/Center 261QM0850X 6528 ND Primary

Addresses

Primary practice location

2704 Broadway N
Suite C
Fargo, ND 58102-1487

Mailing address

2704 Broadway N
Suite C
Fargo, ND 58102-1487
Phone (701) 232-3100

Other names 1

  • Fargo Psychiatric Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2704 Broadway N
Ste C
Fargo, ND 58102
Phone (701) 232-3100

Practitioners & affiliated clinicians

Practitioners 2

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1396915120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 BROADWAY N",
            "address_2": "SUITE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021487",
            "telephone_number": "701-232-3100",
            "fax_number": "701-232-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 BROADWAY N",
            "address_2": "SUITE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021487",
            "telephone_number": "701-232-3100",
            "fax_number": "701-232-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "VIRDEE",
        "authorized_official_first_name": "HARJINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "701-232-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "ND",
            "license": "6528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fargo Psychiatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.