OrganizationActive
Center for Behavioral Change
NPI 1992503924 · Clinical Psychologist · Fargo, ND
Provider details
- NPI number
- 1992503924
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Renae Reinardy Spiry, Owner(701) 356-1047
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
1450 25th St S
Fargo, ND 58103-8105
Phone: (701) 356-1047
Fax: (701) 356-1052
Approximate (ZIP-level) locationGet directions
Mailing address
1450 25th St S
Fargo, ND 58103-8105
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.