NPIMap

Organization Active NPI

Fort Yates Indian Health Service Hospital

  • Psychologist
  • Ft. Yates, ND
National Provider Identifier
1922547801
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
Practice address
10 N River Road
Ft. Yates, ND 58538
Phone
(701) 854-3831
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Jana Gipp
Title
Ceo
Phone
(701) 854-8211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

10 N River Road
Ft. Yates, ND 58538

Mailing address

PO Box J
Fort Yates, ND 58538-0527

National Provider Directory

National Provider Directory
Tax ID family
Fort Yates IHS Hospital16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1922547801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "585380527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N RIVER ROAD",
            "city": "FT. YATES",
            "state": "ND",
            "postal_code": "58538",
            "telephone_number": "701-854-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT YATES INDIAN HEALTH SERVICE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "GIPP",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-854-8211"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Yates, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.