Active NPI
Aman Siddiqi, PSYD
- Psychologist
- Fargo, ND
National Provider Identifier
1780274647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 630
- Practice address
- 19 8TH St S Ste 471
Fargo, ND 58103-1804 - Phone
- (650) 720-7431
- NPI assigned
- Jan 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 06926 | MD | |
| Clinical Psychologist | 103TC0700X | 06926 | MD | |
| Clinical Psychologist | 103TC0700X | 630 | ND | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 06926 | MD | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 630 | ND | |
| Psychologist | 103T00000X | 630 | ND | Primary |
Addresses
Primary practice location
19 8TH St S Ste 471
Fargo, ND 58103-1804
Mailing address
19 8TH St S Ste 471
Fargo, ND 58103-1804
Phone (650) 720-7431
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06926 | MD | MD | General Practice Dentistry |
| 630 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abu Nafs PLLC | Psychologist | Current | Accepting new patients |
Locations
19 8th St S
Fargo, ND 58103
Phone (484) 477-7267
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 and National Provider Directory roles.
-
- Psychologist
- Fargo, ND
- NPI 1902523848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1780274647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 8TH ST S STE 471",
"city": "FARGO",
"state": "ND",
"postal_code": "581031804",
"telephone_number": "650-720-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 8TH ST S STE 471",
"city": "FARGO",
"state": "ND",
"postal_code": "581031804",
"telephone_number": "650-720-7431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQI",
"first_name": "AMAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-24",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "06926",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06926",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "630",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "06926",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "ND",
"license": "630",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "630",
"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 Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.