ST. SOPHIE'S, LLC
NPI 1336443654
Clinic/Center - Adolescent and Children Mental Health in Fargo, ND
NPI Status: Active since December 29, 2010
Contact Information
3201 33RD ST S
FARGO, ND
ZIP 58104
Phone: (701) 365-4488
Fax: (701) 365-0727
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- Accepts Insurance
About ST. SOPHIE'S, LLC
This page provides the complete NPI Profile along with additional information for St. Sophie's, Llc, a provider established in Fargo, North Dakota operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1336443654 assigned on December 2010. The practitioner's primary taxonomy code is 261QM0855X with license number 7174 (ND). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Tracey Jean Frei (Office Manager)
- NPI
- 1336443654
- Provider Name
- ST. SOPHIE'S, LLC
- Entity Type
- Organization
- Location Address
- 3201 33RD ST S FARGO, ND 58104
- Location Phone
- (701) 365-4488
- Location Fax
- (701) 365-0727
- Mailing Address
- 3201 33RD ST S FARGO, ND 58104
- Mailing Phone
- (701) 365-4488
- Mailing Fax
- (701) 365-0727
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2010
- Last Update Date
- 04-30-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- License No.
- 7174
- License State
- ND
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 7174 (ND) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| N716149 | MEDICARE PIN (08) | ND | |
| 15685 | MEDICAID (05) | ND |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 4 | 4 | 3 | 6 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 8 | 4 | 6 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 8 + 4 + 6 + 6 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1336443654 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902998081 | MR. EMMET MICHAEL KENNEY JR. MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 3201 33RD ST S FARGO, ND 58104 (701) 365-4488 |
| 1205407780 | PAYTON PIATZ DNP, FNP Individual | Nurse Practitioner (Family) | 3201 33RD ST S FARGO, ND 58104 (701) 364-4467 |
| 1265111926 | SAMANTHA BRAATEN PA-C Individual | Psychiatry & Neurology (Psychiatry) | 3201 33RD ST S FARGO, ND 58104 (701) 365-4488 |
| 1770329203 | JUSTINE CLARK Individual | Nurse Practitioner (Primary Care) | 3201 33RD ST S FARGO, ND 58104 (701) 365-4488 |
| 1710783790 | SUMMER ELLINGSON APRN Individual | Student in an Organized Health Care Education/Training Program | 3201 33RD ST S FARGO, ND 58104 (701) 365-4488 |
| 1871389825 | HEATHER PFAFF PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3201 33RD ST S FARGO, ND 58104 (701) 365-4488 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336443654, enumerated in the NPI registry as an "organization" on December 29, 2010
The provider is located at 3201 33rd St S Fargo, Nd 58104 and the phone number is (701) 365-4488
This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Sanford. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 29, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.