Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mariah Dawn Laver Juanto, PHD

Individual provider Psychologist · NPI 1629401567

Dr. Mariah Dawn Laver Juanto, PHD is a Clinical Psychologist in Grand Forks, North Dakota. Qualified in 2013, 13 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
13
In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2100 S Columbia Rd Ste 202
Grand Forks, ND 58201-5895
Phone: (701) 772-1588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1629401567
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 14, 2013
Last updated in NPPESAugust 14, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Grand Forks