Active NPI
Rosewater Mental Health PLLC
- Psychologist
- Cottage Grove, MN
National Provider Identifier
1104621333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- ROSEWATER MENTAL HEALTH PLLC
- Practice address
- 7319 Joliet Cir S
Cottage Grove, MN 55016-3633 - Phone
- (612) 770-0986
- NPI assigned
- Feb 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Murphy, PSYD, LP
- Title
- Owner
- Phone
- (612) 770-0986
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
7319 Joliet Cir S
Cottage Grove, MN 55016-3633
Mailing address
7319 Joliet Cir S
Cottage Grove, MN 55016-3633
Phone (612) 770-0986
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124533617 | Other | MN | NPI |
| 1659915262 | Other | MN | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Minneapolis, MN
- NPI 1124533617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1104621333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7319 JOLIET CIR S",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550163633",
"telephone_number": "612-770-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7319 JOLIET CIR S",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550163633",
"telephone_number": "612-770-0986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEWATER MENTAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-770-0986",
"authorized_official_credential": "PSYD, LP"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124533617",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1659915262",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.