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Active NPI 1023035797 Individual Practitioner Male Practitioner

Dr. Ryan D Jagim , PhD

Psychologist - Psychoanalysis • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Jagim, PhD is a registered healthcare professional specializing in Psychologist - Psychoanalysis in Fargo, ND. Practice services are available at 100 4TH ST S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 4th St S

Fargo, ND 581031929

Telephone 7012344141
Fax 7012344024
Associated Practice Facility / Clinic
🏢 William C Porter Md Ltd Facility NPI 1124058326

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Psychoanalysis in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Fargo, ND (15 Statewide)

Telehealth Adoption Rate
38.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Psychoanalysis Primary Specialty

NUCC Taxonomy Code: 103TP0814X

State License MN LP0537

A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
16915 (ND)
Medicaid State Provider ID
818548400 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Emily Sargent

Psychologist

NPI 1235809138
Dr. Diane Fjelstad Kjelstrup , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1306036017

Doctor of Medicine (M.D.)

Dr. Paula Bergloff , PhD

Clinical Neuropsychologist

NPI 1306863303

Doctor of Philosophy (Ph.D.)

Dr. Jeanine Roembach , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1306867528

Doctor of Medicine (M.D.)

Dr. Timothy Wenstrom , PsyD

Psychiatry & Neurology - Neurology

NPI 1326069667

Doctor of Psychology (Psy.D.)

Diana Slivensky

Psychologist - Clinical Child & Adolescent

NPI 1437715166

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2010

Registered at 100 4TH ST S, FARGO, ND 581031929 (Tel: 7012344141)

📍
Updated Business Mailing Address July 16, 2010

Registered at 100 4TH ST S, FARGO, ND 581031929 (Tel: 7012344141)

👤
Provider Name / Credentials Updated July 16, 2010

Recorded as RYAN JAGIM, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2010

Psychologist (License #LP0537 in MN)

🟢
Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023035797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 16, 2010
Sole Proprietor: No

Mailing Address

100 4th St S

Fargo, ND 581031929

Phone: 7012344141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.