Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly Craghill Fagerburg Smith, PSYD

Individual provider Clinical Psychologist · NPI 1376896803

Dr. Kelly Craghill Fagerburg Smith, PSYD is a Clinical Psychologist in Fargo, North Dakota. Qualified in 2011, 15 years ago. Practices with Northeast Human Service Center, a 20-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
15
Licensed in
ND
In the registry since
2012
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1308 23rd St S
Fargo, ND 58103-3707
Phone: (701) 297-7540
Fax: (701) 297-6439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 473 (ND)
Clinical Psychologist Taxonomy 103TC0700X · Licence 473 (ND)

Record details

NPI number1376896803
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 22, 2012
Last updated in NPPESMarch 11, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northeast Human Service Center — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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