Active NPI
Candace Marie Wetterlund
- Psychiatry Physician
- Grand Forks, ND
National Provider Identifier
1790689552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R39147
- Practice address
- 860 S Columbia Rd
Grand Forks, ND 58201-4028 - Phone
- (701) 780-5000
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R39147 | ND | Primary |
Addresses
Primary practice location
860 S Columbia Rd
Grand Forks, ND 58201-4028
Mailing address
860 S. Columbia Rd.
In-Patient Behavioral Health
Grand Forks, ND 58201
Phone (701) 780-6697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1790689552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 S. COLUMBIA RD.",
"address_2": "IN-PATIENT BEHAVIORAL HEALTH",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-780-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014028",
"telephone_number": "701-780-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTERLUND",
"first_name": "CANDACE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "R39147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.