Organization Active NPI

Midwest Center for Trauma & Emotional Healing

  • Community/Behavioral Health Agency
  • Minnetonka, MN
National Provider Identifier
1104307800
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIDWEST CENTER FOR TRAUMA & EMOTIONAL HEALING
Practice address
16204 Highway 7
Minnetonka, MN 55345-3405
Phone
(952) 232-7712
Fax
(952) 934-3010
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. Dawn Elizabeth McClelland, PH.D.
Title
PH.D. Psychologist, Clinical Direct
Phone
(952) 232-7712

Specialties & licenses 1

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

Addresses

Primary practice location

16204 Highway 7
Minnetonka, MN 55345-3405

Mailing address

16204 Highway 7
Minnetonka, MN 55345-3405
Phone (952) 232-7712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1104307800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16204 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453405",
            "telephone_number": "952-232-7712",
            "fax_number": "952-934-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16204 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453405",
            "telephone_number": "952-232-7712",
            "fax_number": "952-934-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR TRAUMA & EMOTIONAL HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PH.D. PSYCHOLOGIST, CLINICAL DIRECT",
        "authorized_official_telephone_number": "952-232-7712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "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 Aug 22, 2018; 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.