Individual provider Active NPI

Douglas James Hess, D.O.

  • Child & Adolescent Psychiatry Physician
  • Fargo, ND
National Provider Identifier
1679864441
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
12818 Issued in ND
Practice address
4541 52ND Ave S
Ste 100
Fargo, ND 58104-5565
Phone
(701) 552-6578
Fax
(701) 380-5115
NPI assigned
Apr 27, 2011
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9968 SD
Psychiatry Physician 2084P0800X 58770 MN
Psychiatry Physician 2084P0800X 4382 IA
Psychiatry Physician 2084P0800X 12818 ND
Child & Adolescent Psychiatry Physician 2084P0804X 58770 MN
Child & Adolescent Psychiatry Physician 2084P0804X 9968 SD
Child & Adolescent Psychiatry Physician 2084P0804X 12818 ND Primary

Addresses

Primary practice location

4541 52ND Ave S
Ste 100
Fargo, ND 58104-5565

Mailing address

4541 52ND Ave S
Ste 100
Fargo, ND 58104-5565
Phone (701) 552-6578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4382IAMDPsychiatry Physician
58770MNMDPsychiatry Physician
12818NDMDPsychiatry Physician
9968SDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Adult & Pediatric Psychiatry Psychiatry CurrentSince Feb 11, 2024 Accepting new patients

Locations

4541 52nd Ave S
#100
Fargo, ND 58104
Phone (701) 552-6578

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1679864441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 52ND AVE S",
            "address_2": "STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045565",
            "telephone_number": "701-552-6578",
            "fax_number": "701-380-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 52ND AVE S",
            "address_2": "STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045565",
            "telephone_number": "701-552-6578",
            "fax_number": "701-380-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "DOUGLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "9968",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "58770",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "4382",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "12818",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "58770",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SD",
            "license": "9968",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ND",
            "license": "12818",
            "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 Feb 16, 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.