DR. SAMANTHA J. TUPY


Address: 2101 Elm St N, Fargo, ND 58102-2417
Phone: 7012393700

DR. SAMANTHA J. TUPY (NPI# 1750923033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750923033
Entity Type Individual
Full Name DR. SAMANTHA J. TUPY
Credential PHD
Practice Address 2101 Elm St N
Fargo
ND 58102-2417
Practice Telephone 7012393700
Mailing Telephone 7012393700
Enumeration Date 2019-10-08
Last Update Date 2020-01-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
095356 IA Behavioral Health & Social Service Providers

Office Location

Street Address 2101 ELM ST N
City FARGO
State ND
Zip Code 58102-2417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437143427 Adam John Glazier Internal Medicine 2101 Elm St N, Fargo, ND 58102-2417 2005-09-06
1235740705 Macy Jane Schindler Occupational Therapist 2101 Elm St N, Fargo, ND 58102-2417 2020-08-10
1497363154 Isaac Nies Pharmacist 2101 Elm St N, Fargo, ND 58102-2417 2020-07-20
1376151597 Paul Afanasi Polanski Social Worker 2101 Elm St N, Fargo, ND 58102-2417 2020-07-14
1144848763 Alexis Kokett Pharmacist 2101 Elm St N, Fargo, ND 58102-2417 2020-07-09
1598396459 Leah Roethel Dietitian, Registered 2101 Elm St N, Fargo, ND 58102-2417 2020-01-30
1619508678 Allison Wanner Dietitian, Registered 2101 Elm St N, Fargo, ND 58102-2417 2020-01-29
1720622822 Nicole Marie Justice Psychologist 2101 Elm St N, Fargo, ND 58102-2417 2019-10-31
1639723232 Madelyn Provost Pharmacist 2101 Elm St N, Fargo, ND 58102-2417 2019-07-31
1366096174 Emilee Gourde Pharmacist 2101 Elm St N, Fargo, ND 58102-2417 2019-07-30
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013542182 Nicola Ashton Herting Psychologist 100 4th St S Ste 302, Fargo, ND 58103-1937 2020-03-09
1669743977 Scott Ressler Psychologist 3678 Taylor St S, Fargo, ND 58104-7588 2012-01-18
1679873525 Jessica Ann Hurdelbrink Jones Psychologist 1126 Westrac Dr S, Fargo, ND 58103-2473 2010-10-26
1467555078 Jenny Kathryn Frissell Psychologist 510 4 St S, Fargo, ND 58103 2006-09-07
1699878256 Kevin Makay Schumacher Psychologist 3120 25th St S Ste Z, #340, Fargo, ND 58103-6164 2006-09-07
1821019043 Scott V Sternhagen Psychologist 112 University Dr N, Suite 200, Fargo, ND 58102-4661 2006-07-22
1346210499 Meryl G Willert Psychologist 300 45th St Sw, Suite 311, Fargo, ND 58103-1189 2006-01-23
1821068966 Wayne D Samuelson Psychologist 1351 Page Dr S Ste 105, Fargo, ND 58103-3536 2006-01-23
1982168589 Kathryn Gordon Psychologist 2400 32nd Ave S, Fargo, ND 58103-5800 2019-01-28
1801399456 Courtney Grace Stufflebeam Psychologist 2101 Elm St N, Fargo, ND 58102-2417 2018-03-09
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Competitor

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City FARGO
Zip Code 58102

Improve Information

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Dataset Information

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.

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