| Myna Therapy Services Pllc | |
|
4575 23rd Ave S Ste 500 Fargo ND 58104-8784 | |
| (701) 347-1782 | |
| (701) 404-8274 |
| Full Name | Myna Therapy Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4575 23rd Ave S Ste 500, Fargo, North Dakota |
| Authorized Official Name and Position | Elaine Doerfler (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7013471782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myna Therapy Services Pllc 4575 23rd Ave S Ste 500 Fargo ND 58104-8784 Ph: (701) 347-1782 | Myna Therapy Services Pllc 4575 23rd Ave S Ste 500 Fargo ND 58104-8784 Ph: (701) 347-1782 |
| NPI Number | 1427788629 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 8022499888 |
|---|---|
| Medicare Enrollment ID | O20220726000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427788629 | NPI | - | NPPES |
| Provider Name | Megan L Hauck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215160213 PECOS PAC ID: 8325185523 Enrollment ID: I20091020000736 |
| Provider Name | Elaine K Doerfler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124388731 PECOS PAC ID: 5698923910 Enrollment ID: I20120912000035 |
| Provider Name | Katie A Hinnenkamp |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164950846 PECOS PAC ID: 0042583726 Enrollment ID: I20170831000014 |
| Provider Name | Courtney P Crabill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447742655 PECOS PAC ID: 9133476203 Enrollment ID: I20180719003558 |
| Provider Name | Amanda J Nordby |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497158026 PECOS PAC ID: 0547519761 Enrollment ID: I20180822000610 |
| Provider Name | Kara Melissa Langlie |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194215608 PECOS PAC ID: 2062764582 Enrollment ID: I20181011001218 |
| Provider Name | Rebecca Gaikowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033675574 PECOS PAC ID: 4082943501 Enrollment ID: I20190909004058 |
| Provider Name | Lora M Rogness |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548601164 PECOS PAC ID: 6507234481 Enrollment ID: I20221128000632 |
| Provider Name | Megan Kristine Boucher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952926396 PECOS PAC ID: 2668846064 Enrollment ID: I20230327001944 |
| Provider Name | Aeriana Maye Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134812639 PECOS PAC ID: 3375900285 Enrollment ID: I20230608001739 |
| Provider Name | Alexis Gisi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033898960 PECOS PAC ID: 2668833807 Enrollment ID: I20230803002283 |
| Provider Name | Abbey Marinucci |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841076569 PECOS PAC ID: 8729432588 Enrollment ID: I20230927002027 |
| Provider Name | Katelyn Voll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922689371 PECOS PAC ID: 8123437886 Enrollment ID: I20231024003355 |
| Provider Name | Amanda Kay Lynch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780241315 PECOS PAC ID: 1658717533 Enrollment ID: I20240313004553 |
| Provider Name | Brian Pat Connelly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619743697 PECOS PAC ID: 5890131619 Enrollment ID: I20240314001821 |
| Provider Name | Jaycee Jo Schmidt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487383097 PECOS PAC ID: 5496192668 Enrollment ID: I20240322003721 |
| Provider Name | Laikyn Pfeifle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396424974 PECOS PAC ID: 4981042710 Enrollment ID: I20240329000876 |
| Provider Name | Casey L Brudvik |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487339677 PECOS PAC ID: 9133567225 Enrollment ID: I20240409002442 |
| Provider Name | Cheyenne C Olien |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841988110 PECOS PAC ID: 2567800493 Enrollment ID: I20240410002931 |
| Provider Name | Emma Mertens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174366355 PECOS PAC ID: 1456895135 Enrollment ID: I20240705001492 |
| Provider Name | Miranda Jo Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184466252 PECOS PAC ID: 6406391770 Enrollment ID: I20240710004409 |
| Provider Name | Jena G Lovaas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942041959 PECOS PAC ID: 5092250928 Enrollment ID: I20240715003496 |
| Provider Name | Brooke Liz Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902640352 PECOS PAC ID: 8921549890 Enrollment ID: I20240918003607 |
| Provider Name | Brinlie Nielsen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184409682 PECOS PAC ID: 5799218566 Enrollment ID: I20241031003357 |
| Provider Name | Delaney Hogenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881363042 PECOS PAC ID: 0840725800 Enrollment ID: I20241127001786 |
| Provider Name | Leah Marie Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639207657 PECOS PAC ID: 0749716546 Enrollment ID: I20241203004131 |
Insight Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S Ste 202a, Fargo, ND 58103 Phone: 701-367-5985 Fax: 701-353-2080 | |
Optimal Behavioral Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 45th St S Ste 100, Fargo, ND 58104 Phone: 602-430-9646 | |
Carita R Shawchuck, Phd, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Westrac Dr S Ste 204, Fargo, ND 58103 Phone: 701-893-3419 Fax: 701-356-8801 | |
Fraser, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2902 University Dr S, Fargo, ND 58103 Phone: 701-232-3301 Fax: 701-237-5775 | |
Sanford Clinic North Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4134 | |
Shanti Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3481 University Dr S Ste 104, Fargo, ND 58104 Phone: 701-353-9238 Fax: 701-205-1221 | |
Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 |