NPIMap

Organization Active NPI

Partners in Healing of Minneapolis

  • Clinical Psychologist
  • Minnetonka, MN
National Provider Identifier
1083858989
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1585 Issued in MN
Legal business name
PARTNERS IN HEALING OF MINNEAPOLIS
Practice address
10505 Wayzata Blvd
Suite #200
Minnetonka, MN 55305-1502
Phone
(763) 546-5797
Fax
(763) 546-5754
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Dr. David S Alter, PHD,LP
Title
Owner/Psychologist
Phone
(763) 546-5797

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X LP1585 MN
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X LP1585 MN
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LP1585 MN Primary

Addresses

Primary practice location

10505 Wayzata Blvd
Suite #200
Minnetonka, MN 55305-1502

Mailing address

10505 Wayzata Blvd
Suite #200
Minnetonka, MN 55305-1502
Phone (763) 546-5797

National Provider Directory

National Provider Directory
Tax ID family
Partners in Healing of Minneapolis4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1083858989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE #200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "763-546-5797",
            "fax_number": "763-546-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE #200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "763-546-5797",
            "fax_number": "763-546-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HEALING OF MINNEAPOLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-546-5797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,LP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP1585",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1585",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.