St. Gabriel'S, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

7174 Issued in ND

Legal business name

ST. GABRIEL'S, LLC

Practice address

3137 32ND Ave S
Suite 223
Fargo, ND 58103-6159

Phone

(701) 225-6408

NPI assigned

Jan 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Emmet Michael Kenney Jr., M.D.

Title

President

Phone

(701) 225-6408

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Kevin Makay Schumacher, PHD

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1699878256
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1447554316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 32ND AVE S",
            "address_2": "SUITE 223",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036159",
            "telephone_number": "701-225-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 32ND AVE S",
            "address_2": "SUITE 223",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036159",
            "telephone_number": "701-225-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GABRIEL'S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "EMMET",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-225-6408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "ND",
            "license": "7174",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "ND",
            "license": "7174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassondra Elizabeth St Cyr
• Katelyn Rae St Peter, LCSW
• Tera Leigh St Pierre
• Aaron Scott St. Aubin
• Keli Nicole St. Clair, D.P.T.
• Elizabeth Jane St. Louis, D.C.
• Taylar Jane St. Louis
• St. Sophie'S, LLC
• St. Will'S, LLC
• Gustav E Staahl, MD

• Adolescent and Children Mental Health Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Adolescent and Children Mental Health Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.