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Deactivated NPI 1215982319 Deactivated / Inactive NPI Male Practitioner

Dr. Jackson William Lind , MD

Psychologist • Fargo, ND

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jackson Lind has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2006
NPI Deactivation Date September 20, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jackson Lind, MD was a registered Psychologist practicing in Fargo, ND. Throughout an active medical career spanning 16 years, Dr. Lind provided care at the practice location at 100 4TH ST. S #302 until profile deactivation on 2022-09-20.

Practice Location & Contact Primary Location

Practice Address

100 4th St. S #302

Fargo, ND 58103

Telephone 7014787887
Fax 7012320459

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
53 Specialists

Practicing in Fargo, ND (147 Statewide)

Telehealth Adoption Rate
9.4% 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 Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License ND 2756

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 20, 2022

Record deactivated on September 20, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 100 4TH ST. S #302, FARGO, ND 58103 (Tel: 7014787887)

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Updated Business Mailing Address July 08, 2007

Registered at 100 4TH ST. S #302, FARGO, ND 58103 (Tel: 7014787887)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACKSON LIND, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #2756 in ND)

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Initial NPI Registration & Enumeration May 24, 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: 1215982319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: July 08, 2007
Deactivation Date: September 20, 2022

Mailing Address

100 4th St. S #302

Fargo, ND 58103

Phone: 7014787887

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.