OrganizationActive
Sanford Medical Center Fargo
NPI 1366604662 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fargo, ND
Provider details
- NPI number
- 1366604662
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Martha Leclerc, Vp(701) 234-6248
- License
- 5068A (ND)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 5068A (ND)
Ambulatory Health Care Facilities
Practice location
1711 University Dr S
Fargo, ND 58103-4939
Phone: (701) 461-5600
Approximate (ZIP-level) locationGet directions
Mailing address
801 Broadway N
Fargo, ND 58122-0605
Other names (DBA / former)
- Other name
- Sanford Psychology
- Other name
- Sanford Psychology
Registry dates
- Enumerated
- 2008-06-27
- 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.