IndividualActive
Ani Mangold, PHD, LP
NPI 1033898762 · Clinical Psychologist · Fargo, ND
Provider details
- NPI number
- 1033898762
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Practice location
1635 43rd St S Ste 105
Fargo, ND 58103-3579
Phone: (218) 287-4338
Approximate (ZIP-level) locationGet directions
Mailing address
1547 30th Ave S
Moorhead, MN 56560-5149
Registry dates
- Enumerated
- 2023-07-11
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.