The Community Circle, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

49576 Issued in MN

Legal business name

THE COMMUNITY CIRCLE, PLLC

Practice address

14300 Nicollet CT
Suite 207
Burnsville, MN 55306-4501

Phone

(952) 898-7578

Fax

(952) 898-7592

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ruth M. Myers, MD

Title

Psychiatrist

Phone

(952) 898-7578

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1043545189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT",
            "address_2": "SUITE 207",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064501",
            "telephone_number": "952-898-7578",
            "fax_number": "952-898-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT",
            "address_2": "SUITE 207",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064501",
            "telephone_number": "952-898-7578",
            "fax_number": "952-898-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY CIRCLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "952-898-7578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-03-1206",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "49576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.