Organization Active NPI

Affinitas Psychiatric Care, PC

  • Psychiatry Physician
  • West Fargo, ND
National Provider Identifier
1841839735
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AFFINITAS PSYCHIATRIC CARE, PC
Practice address
3220 4TH St E Ste 102
West Fargo, ND 58078
Phone
(701) 639-6532
Fax
(701) 203-0137
NPI assigned
Dec 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Authorized official

Name
Becky Elbert, CNS
Title
Adult Psych Mental Health
Phone
(701) 404-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3220 4TH St E Ste 102
West Fargo, ND 58078

Mailing address

3220 4TH St E Ste 102
West Fargo, ND 58078
Phone (701) 404-8969

Other names 1

  • Affinitas Psychiatric Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1841839735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 4TH ST E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-404-8969",
            "fax_number": "701-203-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 4TH ST E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-639-6532",
            "fax_number": "701-203-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITAS PSYCHIATRIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "ELBERT",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "ADULT PSYCH MENTAL HEALTH",
        "authorized_official_telephone_number": "701-404-8969",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinitas Psychiatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.