Active NPI
Center for Behavioral Change
- Clinical Psychologist
- Fargo, ND
National Provider Identifier
1992503924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CENTER FOR BEHAVIORAL CHANGE
- Practice address
- 1450 25TH St S
Fargo, ND 58103-8105 - Phone
- (701) 356-1047
- Fax
- (701) 356-1052
- NPI assigned
- Mar 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Renae M Reinardy Spiry, PSYD
- Title
- Owner
- Phone
- (701) 356-1047
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1450 25TH St S
Fargo, ND 58103-8105
Mailing address
1450 25TH St S
Fargo, ND 58103-8105
Phone (701) 356-1047
National Provider Directory
National Provider DirectoryLocations
1450 25th St S
Fargo, ND 58103
Phone (701) 241-9355
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Minnetonka, MN
- NPI 1730399601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1992503924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 25TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581038105",
"telephone_number": "701-356-1047",
"fax_number": "701-356-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 25TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581038105",
"telephone_number": "701-356-1047",
"fax_number": "701-356-1052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR BEHAVIORAL CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "REINARDY SPIRY",
"authorized_official_first_name": "RENAE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-356-1047",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.