Organization Active NPI

John Honebrink

  • Psychologist
  • Roseville, MN
National Provider Identifier
1073773651
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP1354 Issued in MN
Legal business name
JOHN HONEBRINK
Practice address
1700 W Hwy 36
210 Rosedale Towers
Roseville, MN 55113
Phone
(651) 490-9920
Fax
(651) 578-1125
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mrs. Janet Marie Meulemans
Title
Office Manager
Phone
(651) 307-7865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X LP1354 MN Primary

Addresses

Primary practice location

1700 W Hwy 36
210 Rosedale Towers
Roseville, MN 55113

Mailing address

1700 W Hwy 36
210 Rosedale Towers
Roseville, MN 55113
Phone (651) 490-9920

Other identifiers 2

IdentifierTypeStateIssuer
173348600MedicaidMN
23870HOOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

1700 Highway 36 W
Ste 210
Roseville, MN 55113
Phone (651) 490-9920

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1073773651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W HWY 36",
            "address_2": "210 ROSEDALE TOWERS",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-490-9920",
            "fax_number": "651-578-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W HWY 36",
            "address_2": "210 ROSEDALE TOWERS",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-490-9920",
            "fax_number": "651-578-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN HONEBRINK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "MEULEMANS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-307-7865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173348600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23870HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.