Futurebrain Solutions

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP2385 Issued in MN

Legal business name

FUTUREBRAIN SOLUTIONS

Practice address

5240 W Lake Nokomis Pkwy
Minneapolis, MN 55417-1857

Phone

(612) 378-2363

Fax

(612) 378-2363

NPI assigned

Mar 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marilyn Mason, PH.D

Title

Owner

Phone

(612) 378-2363

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1003087818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 W LAKE NOKOMIS PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171857",
            "telephone_number": "612-378-2363",
            "fax_number": "612-378-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 W LAKE NOKOMIS PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171857",
            "telephone_number": "612-378-2363",
            "fax_number": "612-378-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTUREBRAIN SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-378-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057547000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.