Dakota Therapy Center, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

266 Issued in ND

Legal business name

DAKOTA THERAPY CENTER, LLC

Practice address

600 Demers Ave Ste 301
Grand Forks, ND 58201-4599

Phone

(701) 746-9341

NPI assigned

Jan 1, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Anderson

Title

Office Manager

Phone

(701) 746-9341

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aida Badran Wakefield

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1386663573
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1932265048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DEMERS AVE STE 301",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DEMERS AVE STE 301",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014599",
            "telephone_number": "701-746-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-746-9341"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "ND",
            "license": "266",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19143",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Joy Dahlstrom, OTR
• Dakota Dental Associates PC
• Dakota Elevator and Lift Solutions, LLC
• Dakota Pediatric Dentistry Partnership
• Dakota Pediatric Dentistry PC
• Tamora A Dalin, MA CCC-SLP
• Dallman Chiropractic PC
• John Edward Dallman, DC
• Bernie J Dallum, MD
• Attila Dalmi, MD

• Psychologist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.