Organization Active NPI

Multi-Cultural Care, LLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1104241462
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3985 Issued in MN
Legal business name
MULTI-CULTURAL CARE, LLC
Practice address
1929 S 5TH St
Suite 103
Minneapolis, MN 55454-8801
Phone
(612) 584-3138
Fax
(612) 584-3138
NPI assigned
Feb 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Ms. Mary Elizabeth Conner, MA, LP
Title
Owner/Psychologist
Phone
(612) 584-3138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3985 MN Primary

Addresses

Primary practice location

1929 S 5TH St
Suite 103
Minneapolis, MN 55454-8801

Mailing address

1929 S 5TH St
Suite 103
Minneapolis, MN 55454-8801
Phone (612) 584-3138

Other identifiers 1

IdentifierTypeStateIssuer
813225900MedicaidMN

National Provider Directory

National Provider Directory

Locations

1929 S 5th St
Ste 103
Minneapolis, MN 55454
Phone (612) 584-3138

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1104241462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 S 5TH ST",
            "address_2": "SUITE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554548801",
            "telephone_number": "612-584-3138",
            "fax_number": "612-584-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 S 5TH ST",
            "address_2": "SUITE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554548801",
            "telephone_number": "612-584-3138",
            "fax_number": "612-584-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-CULTURAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-584-3138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813225900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.