Active NPI
Tischer Therapeutic Services
- Community/Behavioral Health Agency
- Breckenridge, MN
National Provider Identifier
1033516695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6011
- Legal business name
- TISCHER THERAPEUTIC SERVICES
- Practice address
- 115 5TH St N
Breckenridge, MN 56520-1434 - Phone
- (218) 651-0212
- NPI assigned
- Nov 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donya B Blair-Tischer, LP
- Title
- Licensed Psychologist
- Phone
- (218) 651-0212
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 827 | MN | |
| Community/Behavioral Health Agency | 251S00000X | 80410114 | ND | |
| Community/Behavioral Health Agency | 251S00000X | 6011 | MN | Primary |
Addresses
Primary practice location
115 5TH St N
Breckenridge, MN 56520-1434
Mailing address
115 5TH St N
Breckenridge, MN 56520-1434
Phone (218) 651-0212
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487635200000",
"number": "1033516695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 5TH ST N",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565201434",
"telephone_number": "218-651-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 5TH ST N",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565201434",
"telephone_number": "218-651-0212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TISCHER THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-25",
"last_updated": "2017-02-21",
"status": "A",
"authorized_official_last_name": "BLAIR-TISCHER",
"authorized_official_first_name": "DONYA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "218-651-0212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "827",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ND",
"license": "80410114",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "6011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, MN
- Corey Stump, CRNA
- Violetta Marie Syvertson, MA, LPC
- Ashley E. Thompson, LPCC
- Pamela Jean Thompson, LICSW
- Thrifty Drug Stores, Inc. (Thrifty White Pharmacy #781)
- Tischer Therapeutic Services Substance Abuse Treatment Program
- Nancy Ellen Torson, MD
- Rosemilove Jeune Turner, SOCIAL WORKER
- Valley-Lake Boy's Home, Inc.
- Carrie Marie Voightman, OTR/L, MOT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.