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JACKSON W LIND LLC
NPI 1427245372
Psychologist - Prescribing (Medical) in Fargo, ND

Active since September 25, 2007
2301 25TH ST S, SUITE I, FARGO, ND 58103(701) 241-9300(701) 235-4525 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson W Lind Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON W LIND LLC (NPI 1427245372) is a healthcare organization registered as a prescribing (medical) in Fargo, North Dakota and active in the NPI registry since September 2007. The organization lists Jackson W Lind, President, as its authorized official.

NPPES Registry Identity

NPI1427245372
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameJACKSON W LIND LLC
Location Address2301 25TH ST S, SUITE IFargo, ND 58103-6104
Mailing Address2301 25th St S, Suite IFargo, ND 58103-6104 · (701) 241-9300 · Fax (701) 235-4525
Phone(701) 241-9300
Fax(701) 235-4525
Organization SubpartNo
Authorized OfficialJackson W LindPresident · (701) 241-9300
Enumeration DateSeptember 25, 2007
Last NPPES UpdateOctober 10, 2007
✔ NPI 1427245372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in ND · 2756
Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

2301 25TH ST S, Fargo, ND 58103
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Other Identifiers 3

Medicare UPIND28635ND
Medicare PINN71135ND
Medicaid18654ND

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMIAH OTTESON MOTR/L
Occupational Therapist (Hand)
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 417-6222
PARKER LANOUE
Physician Assistant
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 234-7400
MORGAN ARZELLE CROVES NP
Nurse Practitioner
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 234-7400
INSTITUTE OF SPECIALTY SURGERY LLC
Clinic/Center (Ambulatory Surgical)
2301 25TH ST S, SUITE H
FARGO, ND 58103
Cass County (701) 271-1045
DENISE R KROKE PT
Physical Therapist
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 280-2212
NIKOLE LEE KOEHN MATRG, ATC
Specialist
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 417-6000
TERESA MARIE REINHOLZ PA-C
Physician Assistant (Surgical)
2301 25TH ST S
FARGO, ND 58103
Cass County (701) 234-8770
J DONALD OPGRANDE PC
Orthopaedic Surgery (Hand Surgery)
2301 25TH ST S, SUITE G
FARGO, ND 58103
Cass County (701) 232-2848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson W Lind LLC's NPI number?

The NPI number for Jackson W Lind LLC is 1427245372. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Jackson W Lind LLC located?

Jackson W Lind LLC is located at 2301 25th St S Suite I, Fargo, ND 58103. The listed phone number is (701) 241-9300.

What is Jackson W Lind LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Jackson W Lind LLC was last updated on October 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.