NPIMap

Organization Active NPI

Bluestem Center for Child and Family Development, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, MN
National Provider Identifier
1003868167
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLUESTEM CENTER FOR CHILD AND FAMILY DEVELOPMENT, P.A.
Practice address
124 Elton Hills LN NW
Rochester, MN 55901-3577
Phone
(507) 282-1009
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Susan C Jenkins, MD
Title
President
Phone
(507) 282-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

124 Elton Hills LN NW
Rochester, MN 55901-3577

Mailing address

124 Elton Hills LN NW
Rochester, MN 55901-3577
Phone (507) 282-1009

National Provider Directory

National Provider Directory

Locations

124 Elton Hills Ln NW
Ste 100
Rochester, MN 55901
Phone (507) 282-1009

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1003868167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ELTON HILLS LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013577",
            "telephone_number": "507-282-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ELTON HILLS LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013577",
            "telephone_number": "507-282-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTEM CENTER FOR CHILD AND FAMILY DEVELOPMENT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-282-1009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.