Organization Active NPI

Family Visions, Inc.

  • Psychologist
  • Fridley, MN
National Provider Identifier
1023199676
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FAMILY VISIONS, INC.
Practice address
7362 University Ave NE Ste 302
Fridley, MN 55432-3150
Phone
(763) 572-8187
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Sandra Crossett, MS LPNPI 1316965452
Title
Director
Phone
(763) 572-8187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7362 University Ave NE Ste 302
Fridley, MN 55432-3150

Mailing address

7362 University Ave NE Ste 302
Fridley, MN 55432-3150
Phone (763) 572-8187

Other identifiers 6

IdentifierTypeStateIssuer
102510OtherMNHEALTH PARTNERS
6263843OtherMNUBH
049L4FAOtherMNBCBS
141769OtherMNUCARE
030703004OtherMNMHP
111680100MedicaidMN

Other names 1

  • FAMILY VISIONS Other name

National Provider Directory

National Provider Directory

Locations

7362 University Ave NE
Ste 302
Minneapolis, MN 55432
Phone (612) 272-8118

Practitioners & affiliated clinicians

Practitioners 3

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1023199676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 302",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323150",
            "telephone_number": "763-572-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 302",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323150",
            "telephone_number": "763-572-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "CROSSETT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-572-8187",
        "authorized_official_credential": "MS LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "102510",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6263843",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "049L4FA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "141769",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP",
            "identifier": "030703004",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111680100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY VISIONS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.