Provider Demographics
NPI:1770173643
Name:UPPER MIDWEST TMS LLC
Entity type:Organization
Organization Name:UPPER MIDWEST TMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:701-371-1072
Mailing Address - Street 1:5621 36TH AVE S UNIT 300
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-5270
Mailing Address - Country:US
Mailing Address - Phone:701-371-5576
Mailing Address - Fax:
Practice Address - Street 1:5621 36TH AVE S UNIT 300
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-5270
Practice Address - Country:US
Practice Address - Phone:701-532-1060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-24
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty