Organization Active NPI

Ani Mangold Psychological Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fargo, ND
National Provider Identifier
1609684414
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ANI MANGOLD PSYCHOLOGICAL SERVICES PLLC
Practice address
2534 University Dr S Ste 3
Fargo, ND 58103-5700
Phone
(915) 820-1691
NPI assigned
Dec 26, 2024
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Dr. Ani Mangold, PHD, LPNPI 1033898762
Title
Ceo
Phone
(915) 820-1691

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2534 University Dr S Ste 3
Fargo, ND 58103-5700

Mailing address

2534 University Dr S Ste 3
Fargo, ND 58103-5700
Phone (915) 820-1691

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1609684414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 UNIVERSITY DR S STE 3",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035700",
            "telephone_number": "915-820-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 UNIVERSITY DR S STE 3",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035700",
            "telephone_number": "915-820-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANI MANGOLD PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "MANGOLD",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-820-1691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 26, 2024; 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.