Kelly Craghill Fagerburg Smith, PSYD
NPI 1376896803ActiveIndividual· Psychologist· Fargo, ND
Psychologist (PSYD) with Northeast Human Service Center, practicing in Fargo, North Dakota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1376896803 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Oct 22, 2012 |
| Last updated in NPPES | Mar 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 473 | ND |
| Psychologist, Clinical | 103TC0700X | 473 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ND) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Northeast Human Service CenterGrand Forks, ND · 23 clinicians
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