Active NPI
Neuropsychology Associates, PA
- Specialist
- Fargo, ND
National Provider Identifier
1669420923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 171
- Legal business name
- NEUROPSYCHOLOGY ASSOCIATES, PA
- Practice address
- 1220 Main Ave Ste 100
Fargo, ND 58103-8201 - Phone
- (701) 297-7588
- Fax
- (701) 364-2256
- NPI assigned
- May 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodney Swenson, PH.D. A.B.P.N.
- Title
- President
- Phone
- (701) 297-7588
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 171 | ND | Primary |
| Specialist | 174400000X | 226 | ND |
Addresses
Primary practice location
1220 Main Ave Ste 100
Fargo, ND 58103-8201
Mailing address
1220 Main Ave Ste 100
Fargo, ND 58103-8233
Phone (701) 297-7588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12261 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1220 Main Ave
Ste 100
Fargo, ND 58103
Phone (701) 297-7588
3374 S 31st St
Ste B
Grand Forks, ND 58201
Phone (701) 780-9700
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Fargo, ND
- NPI 1841413507
-
- Clinical Psychologist
- Fargo, ND
- NPI 1679873525
-
- Psychologist
- West Fargo, ND
- NPI 1376560045
-
- Speech-Language Pathologist
- Fargo, ND
- NPI 1316160914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1669420923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MAIN AVE STE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "581038233",
"telephone_number": "701-297-7588",
"fax_number": "701-364-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MAIN AVE STE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "581038201",
"telephone_number": "701-297-7588",
"fax_number": "701-364-2256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCHOLOGY ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "SWENSON",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-297-7588",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D. A.B.P.N."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "ND",
"license": "171",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "ND",
"license": "226",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12261",
"state": "ND"
}
],
"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 Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.