DR. LISA SCHOCK (NPI# 1548640949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548640949 |
| Entity Type | Individual |
| Full Name | DR. LISA SCHOCK |
| Credential | M.D. |
| Practice Address |
1919 Elm St N Fargo ND 58102-2416 |
| Practice Telephone | 7012934113 |
| Practice Fax Number | 7012934109 |
| Mailing Telephone | 7012934113 |
| Mailing Fax Number | 7012934109 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
15056 | ND | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2701 12th Ave S, Fargo, ND 581038753 | 7014514900 | 6519250057 |
| Street Address |
1919 ELM ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881643377 | William Peter Newman | Internal Medicine | 1919 Elm St N, Fargo, ND 58102-2416 | 2006-05-10 |
| 1275151656 | Aaron Higgins | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2020-07-11 |
| 1053939116 | Teena Pervaiz | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2020-07-06 |
| 1235756941 | Trisha Nelson | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2020-06-29 |
| 1467079335 | Jessica Mclaughlin | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2020-06-26 |
| 1255957254 | Deborah Lucile Chisler | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2020-06-25 |
| 1164049110 | Chloe Ree | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2020-06-25 |
| 1710548052 | Jennifer Myers | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2019-06-26 |
| 1407417454 | Jinal Desai | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2019-06-20 |
| 1093375370 | Kyle Cleasby | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2019-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839735 | Affinitas Psychiatric Care, PC | Psychiatry & Neurology | 3523 45th St S Ste 151, Fargo, ND 58104-8962 | 2019-12-26 |
| 1134260482 | Harjinder K Virdee | Psychiatry & Neurology | 2704 N Broadway, Suite C, Fargo, ND 58102 | 2007-02-09 |
| 1821175241 | Amador Montes Dizon | Psychiatry & Neurology | 510 4th St So, Fargo, ND 58103 | 2006-11-01 |
| 1275629719 | David Javier Lopez | Psychiatry & Neurology | 300 Np Ave Ste 101, Fargo, ND 58102-4871 | 2006-10-04 |
| 1902998081 | Emmet Michael Kenney Jr. | Psychiatry & Neurology | 3201 33rd St S, Fargo, ND 58104-8823 | 2006-09-28 |
| 1093807182 | Fetih Akgul | Psychiatry & Neurology | 510 4th St South, Prairie St Johns LLC, Fargo, ND 58107 | 2006-09-28 |
| 1023111606 | Charlotte Marie Andersen | Psychiatry & Neurology | 510 4th Street S, Fargo, ND 58107 | 2006-09-07 |
| 1235156191 | Rebecca Evelyn Elbert | Psychiatry & Neurology | 3523 45th St S Ste 100, Fargo, ND 58104-8962 | 2006-07-16 |
| 1952359903 | Anne Henry Stoe | Psychiatry & Neurology | 2624 9th Ave Sw, Southeast Human Service Center, Fargo, ND 58103 | 2006-05-04 |
| 1720608110 | Natasha Lynn Isaman | Psychiatry & Neurology | 1316 23rd St S, Fargo, ND 58103-3707 | 2020-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.