Chrysalis Behavioral Health Services and Training Center

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHRYSALIS BEHAVIORAL HEALTH SERVICES AND TRAINING CENTER

Practice address

1620 16TH Ave S
Fargo, ND 58103-4055

Phone

(701) 260-0713

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Angela Marie Cavett, PHDNPI 1659300713

Title

Clinical Director, Psychologist

Phone

(701) 260-0713

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Angela M Cavett, PH.D.

  • Psychologist
  • West Fargo, ND
  • NPI 1659300713
  NPD Authorized official

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1447748918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W BEATON DR STE 103",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782653",
            "telephone_number": "701-260-0713",
            "fax_number": "701-356-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 16TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034055",
            "telephone_number": "701-260-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W Beaton Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "West Fargo",
            "state": "ND",
            "postal_code": "580782653",
            "country_code": "US",
            "telephone_number": "701-260-0713",
            "fax_number": "701-356-4940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRYSALIS BEHAVIORAL HEALTH SERVICES AND TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "CAVETT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, PSYCHOLOGIST",
        "authorized_official_telephone_number": "701-260-0713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney N Christie, CCC-SLP
• Alexs Anne Christoffersen, R.D.
• Benjamin Christopher
• Katelyn Chromy
• Chronicle Home Care PLLC
• Pauline Chua, MD
• Teresa Ann Church, LMSW
• Megaan Jo Cianci, MSN, AGNP-C
• Miguel Jose Javillonar Cid, MD
• Cris Ray Cimbura, MS LPC

• 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 12, 2019; 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.