OrganizationActive
Sanford Clinic North
NPI 1124218961 · Clinical Child & Adolescent Psychologist · Fargo, ND
Provider details
- NPI number
- 1124218961
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Martha Leclerc, Vp(701) 234-6248
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 4th St S
Fargo, ND 58103-1929
Phone: (701) 234-3100
Fax: (701) 234-3120
Street-level locationGet directions
Mailing address
100 4th St S
Fargo, ND 58103-1929
Other names (DBA / former)
- Doing business as
- Sanford Professional Building
- Doing business as
- Sanford Professional Building
Registry dates
- Enumerated
- 2007-07-27
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.