Active NPI
Northeast Behavioral Health Clinic
- Community/Behavioral Health Agency
- Grand Forks, ND
National Provider Identifier
1922529932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NORTHEAST BEHAVIORAL HEALTH CLINIC
- Practice address
- 151 S 4TH St Ste 401
Grand Forks, ND 58201-4715 - Phone
- (701) 795-3000
- Fax
- (701) 795-3020
- NPI assigned
- Jun 29, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Randall Slavens
- Title
- Regional Director
- Phone
- (701) 795-3010
Corporate family (same tax ID) 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Forks, ND
- NPI 1366496341
-
- Developmental Disabilities Clinic/Center
- Grand Forks, ND
- NPI 1689612475
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Grand Forks, ND
- NPI 1891808978
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Behavioral Health Clinic
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Mailing address
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND249517 | Medicaid | ND |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2026.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1922529932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 S 4TH ST STE 401",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014715",
"telephone_number": "701-795-3000",
"fax_number": "701-795-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S 4TH ST STE 401",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014715",
"telephone_number": "701-795-3000",
"fax_number": "701-795-3020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST BEHAVIORAL HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-29",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "SLAVENS",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "REGIONAL DIRECTOR",
"authorized_official_telephone_number": "701-795-3010"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ND249517",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
- Sherman Normandin, PHD
- North Dakota Eye Clinic, LTD
- North Dakota Eye Clinic, LTD
- North Dakota Surgery Center, LLC
- Northeast Behavioral Health Clinic
- Northeast Human Service Center
- Northeast Human Service Center
- Northern Natural Medicine PLLC
- Northern Plains Dental P.C.
- Northern Valley Obstetrics & Gynecology, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.