| Ppi Consulting | |
|
112 University Dr N Ste 300 Fargo ND 58102 | |
| (701) 866-3641 | |
| (701) 660-1071 |
| Full Name | Ppi Consulting |
|---|---|
| Speciality | Psychologist |
| Location | 112 University Dr N Ste 300, Fargo, North Dakota |
| Authorized Official Name and Position | Jay Phillippi (PRESIDENT) |
| Authorized Official Contact | 7018663641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppi Consulting 112 University Dr N Ste 300 Fargo ND 58102-4661 Ph: (701) 866-3641 | Ppi Consulting 112 University Dr N Ste 300 Fargo ND 58102 Ph: (701) 866-3641 |
| NPI Number | 1427446798 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 10/15/2018 |
| Medicare PECOS PAC ID | 5193078434 |
|---|---|
| Medicare Enrollment ID | O20181102000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427446798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jay R Phillippi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053692020 PECOS PAC ID: 2668615378 Enrollment ID: I20130828000577 |
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