Active NPI
Rachel M. Fleissner, MD
- Child & Adolescent Psychiatry Physician
- Fargo, ND
National Provider Identifier
1427084995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 7991
- Practice address
- 510 4TH St S
Fargo, ND 58103-1914 - Phone
- (701) 476-7800
- NPI assigned
- Jun 24, 2006
- Last updated
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7991 | ND | |
| Psychiatry Physician | 2084P0800X | 40932 | MN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 7991 | ND | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 40932 | MN |
Addresses
Primary practice location
510 4TH St S
Fargo, ND 58103-1914
Mailing address
4537 81St St N
Fargo, ND 58102-7502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10677 | Medicaid | ND |
Other names 1
- Rachel M Woodcock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie St Johns | Past | Accepting new patients | |
| Village Family Service Center | Past | Accepting new patients | |
| PSJ Acquisition LLC | Psychiatry | Past | Accepting new patients |
| Village Family Service Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Fargo, ND
- NPI 1417901000
-
dba The Village Family Service Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1568492353
-
dba The Village Family Service Center
- Substance Abuse Rehabilitation Facility
- Fargo, ND
- NPI 1952679318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1427084995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4537 81ST ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581027502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 4TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031914",
"telephone_number": "701-476-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISSNER",
"first_name": "RACHEL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "7991",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "40932",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "ND",
"license": "7991",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "40932",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10677",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "WOODCOCK",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.