Organization Active NPI

GF Psychological Services

  • Clinical Psychologist
  • West Fargo, ND
National Provider Identifier
1992584023
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GF PSYCHOLOGICAL SERVICES
Practice address
779 32ND Ave W
West Fargo, ND 58078-8565
Phone
(701) 526-6870
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Gillian FreebornNPI 1780025932
Title
Owner
Phone
(701) 526-6870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

779 32ND Ave W
West Fargo, ND 58078-8565

Mailing address

779 32ND Ave W
West Fargo, ND 58078-8565
Phone (701) 526-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112003133 ND Part B Supplier - Clinic/Group Practice 5294186367 Receives reassigned benefits from 2 practitioners
Practice locations: West Fargo, ND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1992584023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 32ND AVE W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788565",
            "telephone_number": "701-526-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 32ND AVE W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788565",
            "telephone_number": "701-526-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GF PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "FREEBORN",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-526-6870"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.