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REGENTS OF THE UNIVERSITY OF MINNESOTA NPI 1538389887


NPI Information

NPI: 1538389887
Provider Name: REGENTS OF THE UNIVERSITY OF MINNESOTA

Doing Business As: BOYNTON HEALTH SERVICE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
410 CHURCH STREET SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-8400
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REGENTS OF THE UNIVERSITY OF MINNESOTA is a mental health counselor in Minneapolis, MN. REGENTS OF THE UNIVERSITY OF MINNESOTA NPI is 1538389887. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Boynton Health Service.

The provider's business location address is:

410 CHURCH STREET SE
MINNEAPOLIS, MN
ZIP 55455-346
Phone: (612) 625-8400
Fax: (612) 625-1434

The provider's authorized official is Edward Peter Ehlinger .
The authorized official title is Director and has the following contact phone number (612) 625-1612.

The enumeration date for this NPI number is 4/27/2007 and was last updated on 10/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1102L00000XPsychoanalystNo
2103T00000XPsychologistNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100639MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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