Active NPI
Peterson Medical Clinics, LLC
Doing business as Rural Psychiatry Associates
- Multi-Specialty Clinic/Center
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PETERSON MEDICAL CLINICS, LLC
- Doing business as
- Rural Psychiatry Associates
- Practice address
- 3674 S Washington St
Grand Forks, ND 58201-5766 - Phone
- (701) 205-3000
- Fax
- (701) 732-2501
- NPI assigned
- Jun 21, 2017
- Last updated
- Mar 27, 2026
- 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
- Thomas M Peterson, MD
- Title
- Owner
- Phone
- (701) 205-3000
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | ND | Primary |
Addresses
Primary practice location
3674 S Washington St
Grand Forks, ND 58201-5766
Mailing address
PO Box 5210
Grand Forks, ND 58206-5210
Other practice location 1
519 Anne St NW Ste A
Bemidji, MN 56601-4277
Phone (701) 205-3000
Other practice location 2
4501 15th Ave SW Ste 105
Fargo, ND 58103-8956
Phone (701) 205-3000
Other names 1
- Rural Psychiatry Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN, AK, UT, SD, MT, IL, ID, MO, TX, NY, LA, DC, ME, CO, CT, AR, KS, GA, AL, VA, NC, TN, OH, SC, MD, NH, NJ, WI, MI, AZ, CA, NV, FL, KY
Enrollment records 35
National Provider Directory
National Provider DirectoryLocations
205 E Benson Blvd
Ste 401
Anchorage, AK 99503
201 Houston St
Ste 200A
Batavia, IL 60510
Phone (630) 397-8347
123 3rd Ave E
Ste 300
Alexandria, MN 56308
700 Cedar St
Ste 228
Alexandria, MN 56308
Phone (320) 762-3935
519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700
205 Roosevelt Ave W
Karlstad, MN 56732
Phone (218) 436-2251
515 Bridge St
Park Rapids, MN 56470
Phone (218) 252-0066
721 Central Ave
#107
Great Falls, MT 59401
721 Central Ave
Ste 107
Great Falls, MT 59401
424 S 3rd St
Ste 1
Bismarck, ND 58504
4501 15th Ave SW
Ste 105
Fargo, ND 58103
1407 24th Ave S
Ste C
Grand Forks, ND 58201
Phone (701) 732-2509
3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538
1408 20th Ave SW
Ste 5
Minot, ND 58701
315 Main St S
Ste 300
Minot, ND 58701
555 Lake Ave E
Ste 1
Napoleon, ND 58561
Phone (701) 754-2322
215 3rd Ave W
Richardton, ND 58652
Phone (701) 974-3372
401 Veterans Ave
Sisseton, SD 57262
Phone (605) 698-3162
2033 N Ocoee St
Cleveland, TN 37311
Phone (423) 458-1020
750 S State St
Mt Pleasant, UT 84647
Phone (435) 200-3182
Practitioners & affiliated clinicians
Practitioners 181
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.
-
- Clinical Social Worker
- Grand Forks, ND
- NPI 1912444936
AK, ID, MN, MT, SD, TN, UT
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1134004898
AK, FL, MN, MT, SD
-
- Clinical Social Worker
- Grand Forks, ND
- NPI 1104564293
AK, MN, MT, NC, SD
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1740170414
AK, MN, TX
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1316738842
AK, FL, MN, MT, SD
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1609679430
AK, MN, MT, SD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1699295774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5210",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582065210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3674 S WASHINGTON ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015766",
"telephone_number": "701-205-3000",
"fax_number": "701-732-2501"
}
],
"practiceLocations": [
{
"address_1": "519 Anne St NW Ste A",
"address_purpose": "LOCATION",
"city": "Bemidji",
"state": "MN",
"postal_code": "566014277",
"country_code": "US",
"telephone_number": "701-205-3000",
"fax_number": "701-732-2501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4501 15th Ave SW Ste 105",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581038956",
"country_code": "US",
"telephone_number": "701-205-3000",
"fax_number": "701-732-2501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PETERSON MEDICAL CLINICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-21",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-205-3000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rural Psychiatry Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.