Soliant Health

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

323119 Issued in MN

Legal business name

SOLIANT HEALTH

Practice address

17586 Cedar Creek Rd
Pine City, MN 55063-4905

Phone

(320) 629-1170

NPI assigned

Apr 11, 2014

Last updated

Apr 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Patricia Tilden, EDS

Title

School Psychologist

Phone

(320) 629-1179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1043639537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17586 CEDAR CREEK RD",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550634905",
            "telephone_number": "320-629-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17586 CEDAR CREEK RD",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550634905",
            "telephone_number": "320-629-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIANT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "TILDEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "320-629-1179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EDS"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "323119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Pine City, MN
• Providers in Pine City, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.