Be Somebody Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3637 Issued in MN

Legal business name

BE SOMEBODY INC

Practice address

11550 Stillwater Blvd N Ste 102
Lake Elmo, MN 55042-8613

Phone

(651) 777-3336

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Melissa B Severance, MA LPNPI 1598821217

Title

Owner

Phone

(651) 777-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa B Severance, MA LP

  • Psychologist
  • Lake Elmo, MN
  • NPI 1598821217
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1073679791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 STILLWATER BLVD N STE 102",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428613",
            "telephone_number": "651-777-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 STILLWATER BLVD N STE 102",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428613",
            "telephone_number": "651-777-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE SOMEBODY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "SEVERANCE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-777-3336",
        "authorized_official_credential": "MA LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "41D04SE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bachmann and Associates, Inc. Dba Counseling Care
• Christine Griffin Bachmann, FNP
• Elisa Laura Bachmann
• Marcus Bachmann, PHD
• Matthew E Ballenthin, PSYD. LP
• James R Benyon, CRNA
• Laura Bergstrom, PA
• Sarah Berkowitz
• Mariel J Blomstrand, MSW LICSW
• Blossom Towne Enterprises

• Psychologist in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.