Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962423202 Individual Practitioner Male Practitioner

Dr. Stephen A Wonderlich , PhD

Psychologist - Psychoanalysis • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Wonderlich, 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 7012344111
Fax 7012344130
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 ND 187

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
16965 (ND)
Medicaid State Provider ID
014550500 (MN)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Kathryn Olson , FNP

Nurse Practitioner - Family

NPI 1023837861

Family Nurse Practitioner

Dr. Lorraine Swan-Kremeier , PsyD

Psychologist - Psychoanalysis

NPI 1093736217

Doctor of Psychology (Psy.D.)

NPI 1174229595

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Kendra Kisner , MS, RDN, LRD

Dietitian, Registered

NPI 1376408104

Master of Science, Registered Dietitian Nutritionist, LRD

Meredith Wagner , LRD

Dietitian, Registered

NPI 1417143959
Dr. Tricia Myers , PhD

Psychologist - Psychoanalysis

NPI 1528085065

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2008

Registered at 100 4TH ST S, FARGO, ND 581031929 (Tel: 7012344111)

📍
Updated Business Mailing Address November 10, 2008

Registered at 100 4TH ST S, FARGO, ND 581031929 (Tel: 7012344111)

👤
Provider Name / Credentials Updated November 10, 2008

Recorded as STEPHEN WONDERLICH, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2008

Psychologist (License #187 in ND)

🟢
Initial NPI Registration & Enumeration July 22, 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: 1962423202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2006
Last Update: November 10, 2008
Sole Proprietor: No

Mailing Address

100 4th St S

Fargo, ND 581031929

Phone: 7012344111

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.