NPI: 1104588037 · FARGO, ND 58103 · Multi-Specialty Clinic/Center · NPI assigned 10/07/2021
| Authorized Official | SPICZKA DOUGLAS, KIM (OWNER) |
| NPI Enumeration Date | 10/07/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 190 | $14K |
| 2023 | 95 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 285 | 128 | $23K |