Active NPI
Ann K Sandgren, PHD
- Psychoanalysis Psychologist
- Fargo, ND
National Provider Identifier
1972525525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 213
- Practice address
- 820 4TH St N
Fargo, ND 58122-0001 - Phone
- (701) 234-6161
- Fax
- (701) 234-7592
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 213 | ND | Primary |
Addresses
Primary practice location
820 4TH St N
Fargo, ND 58122-0001
Mailing address
820 4TH St N
Fargo, ND 58122-0001
Phone (701) 234-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213 | ND | MD | Psychoanalysis Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients |
Locations
820 4th St N
Fargo, ND 58102
Phone (701) 234-6161
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
420 S 7th St
Oakes, ND 58474
Phone (701) 742-3267
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221177600000",
"number": "1972525525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 4TH ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581220001",
"telephone_number": "701-234-6161",
"fax_number": "701-234-7592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 4TH ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581220001",
"telephone_number": "701-234-6161",
"fax_number": "701-234-7592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDGREN",
"first_name": "ANN",
"middle_name": "K",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2008-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "ND",
"license": "213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.