SANFORD NEUROSCIENCE CLINIC
NPI 1770863078
Clinical Neuropsychologist in Fargo, ND

Q: What is Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1770863078. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Sanford Neuroscience Clinic.

Q: What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since August 18, 2011

700 1ST AVE S, FARGO, ND 58103(701) 234-4036 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sanford Neuroscience Clinic NPPES

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

SANFORD NEUROSCIENCE CLINIC (NPI 1770863078) is a healthcare organization registered as a clinical neuropsychologist in Fargo, North Dakota and active in the NPI registry since August 2011. The organization lists Martha Leclerc, Vice President, as its authorized official.

NPPES Registry Identity

NPI1770863078

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameSANFORD MEDICAL CENTER FARGO

Location Address700 1ST AVE SFargo, ND 58103-1802

Mailing Address700 1st Ave SFargo, ND 58103-1802 · (701) 234-4036

Phone(701) 234-4036

Organization SubpartNo

Authorized OfficialMartha LeclercVice President · (701) 234-6248

Enumeration DateAugust 18, 2011

Last NPPES UpdateNovember 27, 2023

✔ NPI 1770863078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

700 1ST AVE S, Fargo, ND 58103

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Other Names 1

Doing Business AsSanford Neuroscience Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

SUSAN K FALCK PA

Physician Assistant

700 1ST AVE S
FARGO, ND 58103

Cass County (701) 234-4036

SANFORD CLINIC NORTH

Clinical Neuropsychologist

700 1ST AVE S
FARGO, ND 58103

Cass County (701) 234-4036

SUSAN L SCARBERRY MD

Psychiatry & Neurology (Neurology)

700 1ST AVE S
FARGO, ND 58103

Cass County (701) 234-4036

DR. RAVINDA SAMARAWEERA M.D.

Psychiatry & Neurology (Neurology)

700 1ST AVE S
FARGO, ND 58103

Cass County (701) 234-4036

ANGELA D WAGNER PA-C

Physician Assistant (Medical)

700 1ST AVE S
FARGO, ND 58103

Cass County (701) 234-4023

AMANDA DIAMOND

Psychiatry & Neurology (Neurology)

700 1ST AVE S
FARGO, ND 58103

Cass County (701) 234-4036

ALEXA PRIVRATSKY PA

Physician Assistant

700 1ST AVE S
FARGO, ND 58103

Cass County (701) 234-4036

MARCUS F KEEP MD

Neurological Surgery

700 1ST AVE S
FARGO, ND 58103

Cass County (701) 234-4036

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 Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1770863078. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Sanford Neuroscience Clinic.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 700 1st Ave S, Fargo, ND 58103. The listed phone number is (701) 234-4036.

What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Sanford Medical Center Fargo was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.