MODERN MIND WELLNESS
NPI 1972372746
Psychologist in Fairburn, SD

Active since December 21, 2023
25691 S. FAIRBURN RD, FAIRBURN, SD 57738(507) 218-8394 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Modern Mind Wellness NPPES

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

MODERN MIND WELLNESS (NPI 1972372746) is a healthcare organization registered as a psychologist in Fairburn, South Dakota and active in the NPI registry since December 2023. The organization lists Trevor D Frybarger, Manager/licensed Therapist, as its authorized official.

NPPES Registry Identity

NPI1972372746
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMODERN MIND WELLNESS
Location Address25691 S. FAIRBURN RDFairburn, SD 57738
Mailing AddressPo Box 94Fairburn, SD 57738-0094
Organization SubpartNo
Authorized OfficialTrevor D FrybargerManager/licensed Therapist · (507) 218-8394
Enumeration DateDecember 21, 2023
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
NPI 1972372746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

25691 S. FAIRBURN RD, Fairburn, SD 57738

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972372746, enumerated as an "organization" on December 21, 2023.

The provider is located at 25691 S. FAIRBURN RD FAIRBURN, SD 57738 and the phone number is (507) 218-8394.

Psychologist with taxonomy code 103T00000X.