Organization Active NPI

Medcanvas Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Minot, ND
National Provider Identifier
1679326862
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MEDCANVAS PSYCHIATRY PLLC
Practice address
801 10TH Ave SE
Minot, ND 58701-4810
Phone
(307) 448-0376
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Diana Ntoe ArrahNPI 1669161600
Title
Founder
Phone
(307) 448-0376

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)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

801 10TH Ave SE
Minot, ND 58701-4810

Mailing address

1940 S Broadway # 420
Minot, ND 58701-6508
Phone (701) 581-5395

Other names 1

  • MEDCANVAS PSYCHIATRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250804001662 ND Part B Supplier - Clinic/Group Practice 1658889480 Receives reassigned benefits from 1 practitioner
Practice locations: Minot, ND

National Provider Directory

National Provider Directory

Locations

104 20th Ave SW
Minot, ND 58701

1940 S Broadway
Minot, ND 58701
Phone (701) 389-4164

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1679326862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BROADWAY # 420",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016508",
            "telephone_number": "701-581-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 10TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014810",
            "telephone_number": "307-448-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCANVAS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "ARRAH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "NTOE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "307-448-0376"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCANVAS PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDCANVAS PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.

Verify at the official NPI Registry.