National Initiatives for Healthy Youth

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

CC003709 Issued in MN

Legal business name

NATIONAL INITIATIVES FOR HEALTHY YOUTH

Doing business as

Forensic Psychological Services for Youth

Practice address

7948 Quail Ave N
Brooklyn Park, MN 55443-2423

Phone

(763) 568-7340

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Marie Frye, PH.D.

Title

Executive Director

Phone

(763) 229-2753

Specialties & licenses 1

Addresses

Other names 1

• Forensic Psychological Services for Youth Doing business as

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1083961635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7948 QUAIL AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432423",
            "telephone_number": "763-568-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7948 QUAIL AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432423",
            "telephone_number": "763-568-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL INITIATIVES FOR HEALTHY YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-229-2753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "CC003709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forensic Psychological Services for Youth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Murphy
• Ubah Musa
• Nahile Home Care LLC
• Charanya Nalligoundanur Pasupathi, MD
• Nasha Shkola School
• Neah Coop
• Cheryl Neel, CD(DONA)
• Brian Nelson
• Pamela Nelson
• Trisha Nelson, MD

• Forensic Psychologist in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Forensic Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.