North Metro Flex Academy

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Legal business name

NORTH METRO FLEX ACADEMY

Practice address

2350 Helen St N
North St Paul, MN 55109-2942

Phone

(612) 900-4435

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By 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

Mrs. Aleksandra Demisoua

Title

Board President

Phone

(612) 462-2457

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1063954998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 HELEN ST N",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092942",
            "telephone_number": "612-900-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HELEN ST N",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092942",
            "telephone_number": "612-900-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH METRO FLEX ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "DEMISOUA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "612-462-2457",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Elizabeth Muecke
• Aimee Muellenbach, OTR/L
• Austin Murdock, DC
• Lori Beth Neubauer, LPCC
• Rachel Nordin, OTD, OTR/L
• North St. Paul Dental
• Allison Elizabeth O'Halloran, PMHNP
• Carrie Marie O'Rourke
• Jamie Laurich Omann, RN, CPNP
• Amber Marie Peifer, MA, MPS, LPCC

• School Psychologist in North St Paul, MN
• Providers in North St Paul, MN by specialty
• School Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.