West Metro Psychiatry, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WEST METRO PSYCHIATRY, PC

Practice address

13911 Ridgedale Dr Ste 255
Minnetonka, MN 55305-1773

Phone

(952) 546-1225

NPI assigned

Sep 21, 2012

Organization subpart

No

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

Authorized official

Name

Charles Pearson, MD

Title

President

Phone

(952) 546-1225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1073864682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 255",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051773",
            "telephone_number": "952-546-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 255",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051773",
            "telephone_number": "952-546-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST METRO PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-546-1225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Thomas Welch, MD
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• Robert Arthur Wengler, M.D.
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• West Side Sober Living
• Anny West
• Charles Westholm, LICSW
• Michael Ross Wexler, M.D.

• Psychiatry Physician in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.