ST SOPHIE'S, LLC (NPI# 1679916621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679916621 |
| Entity Type | Organization |
| Organization Name | ST SOPHIE'S, LLC |
| Other Organization Name | ST SOPHIE'S BISMARCK |
| Practice Address |
3000 N 14th St Ste 2a Bismarck ND 58503-0697 |
| Mailing Address |
3120 25th St S Ste Z #344 Fargo ND 58103-6164 |
| Practice Telephone | 7013654467 |
| Mailing Telephone | 7013654467 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | EMMET KENNEY (CEO) |
| Authorized Official Telephone | 7013654488 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ST SOPHIE'S, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
7174 | ND | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Sophie's Bismarck | Doing Business As Name - Organization |
| Street Address |
3000 N 14TH ST STE 2A |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-0697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619108420 | Ashley Murrey | Nurse Practitioner | 3000 N 14th St, Bismarck, ND 58503-0697 | 2009-07-29 |
| 1699216945 | Prairie Sinus Ear & Allergy PC | Otolaryngology | 3000 N 14th St, 3rd Floor, Bismarck, ND 58503-0697 | 2017-03-19 |
| 1407192362 | Dane Michael Heid | Chiropractor | 3000 N 14th St, 3a, Bismarck, ND 58503-0697 | 2012-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| 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 |
|---|---|---|---|---|
| 1659579167 | Albert F Samuelson | Psychiatry & Neurology | 1252 N Parkview Dr, Bismarck, ND 58501-1288 | 2007-07-05 |
| 1396809919 | Susan Eileen Delap | Psychiatry & Neurology | 4023 State St, Suite 100, Bismarck, ND 58503-0690 | 2006-12-20 |
| 1730161613 | Igmidio A Santos | Psychiatry & Neurology | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 | 2005-11-16 |
| 1801885470 | Elsa Maria Remer | Psychiatry & Neurology | 400 E Broadway Ave, Ste 306, Bismarck, ND 58501-4038 | 2005-10-17 |
| 1821591546 | Laura Ann Hoovestol | Psychiatry & Neurology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2018-03-09 |
| 1710372362 | Annah Preszler | Psychiatry & Neurology | 1800 E Interstate Ave Ste B, Bismarck, ND 58503-1566 | 2015-03-31 |
| 1124467741 | Adam Jangula | Psychiatry & Neurology | 1800 E Interstate Ave Ste B, Bismarck, ND 58503-1566 | 2013-06-17 |
| 1942520325 | Lacey Lee Armstrong | Psychiatry & Neurology | 414 N 7th St, Bismarck, ND 58501-4423 | 2010-06-08 |
| 1760708010 | Diane Nelson | Psychiatry & Neurology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2010-04-12 |
| 1417187907 | Prem Nath Pathak | Psychiatry & Neurology | 1800 E Interstate Ave Ste B, Bismarck, ND 58503-1566 | 2009-07-20 |
| Find all providers in BISMARCK | ||||
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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.