Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Cleasby

Individual provider Psychiatry Physician · NPI 1093375370

Kyle Cleasby is a Psychiatry in Fargo, North Dakota. Qualified in 2019, 7 years ago. Practices with Badlands Human Service Center, an 18-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
7
Licensed in
ND
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1919 Elm St N
Fargo, ND 58102-2416
Phone: (701) 293-4113
Fax: (701) 293-4109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1463 I94 Business Loop E, Dickinson, ND 58601-6434 — (701) 227-7500

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Psychiatry Physician Taxonomy 2084P0800X · Licence 18990 (ND)

Record details

NPI number1093375370
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address1463 I94 Business Loop E, Dickinson, ND 58601-6434

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Badlands Human Service Center — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fargo