NPIMap

Individual provider Active NPI

Michael Capan, M.D.

  • Psychiatry Physician
  • Bismarck, ND
National Provider Identifier
1689728818
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9665 Issued in ND
Practice address
1237 W Divide Ave
Ste 5
Bismarck, ND 58501-1208
Phone
(701) 328-8888
Fax
(701) 328-8900
NPI assigned
Jan 23, 2007
Last updated
Aug 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9665 ND Primary

Addresses

Primary practice location

1237 W Divide Ave
Ste 5
Bismarck, ND 58501-1208

Mailing address

1237 W Divide Ave
Ste 5
Bismarck, ND 58501-1208
Phone (701) 328-8888

Other identifiers 1

IdentifierTypeStateIssuer
1455328MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000833 ND Practitioner - Psychiatry 2163495615 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Human Service CenterGroup PAC ID 6002801107, 16 clinicians

Practice addresses (Care Compare)

1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1208
Phone (701) 328-8888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Behavioral Health Clinic CurrentSince Jan 1, 2025 Accepting new patients
Northeast Behavioral Health Clinic CurrentSince Jan 19, 2024 Accepting new patients
North Central Behavioral Health Clinic CurrentSince Dec 20, 2023 Accepting new patients
West Central Behavioral Health Clinic CurrentSince Jun 11, 2014 Accepting new patients
Lake Region Behavioral Health Clinic CurrentSince Dec 20, 2023 Accepting new patients
Northwest Behavioral Health Clinic CurrentSince Dec 20, 2023 Accepting new patients
Northeast Human Service Center CurrentSince Jan 19, 2024 Accepting new patients
Southeast Behavioral Health Clinic CurrentSince Jan 19, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Badlands Behavioral Health Clinic Past Accepting new patients

Locations

1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200

2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500

151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000

520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300

1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500

316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1689728818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 W DIVIDE AVE",
            "address_2": "STE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011208",
            "telephone_number": "701-328-8888",
            "fax_number": "701-328-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 W DIVIDE AVE",
            "address_2": "STE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011208",
            "telephone_number": "701-328-8888",
            "fax_number": "701-328-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "9665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455328",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.