Geriatric & General Psychiatry

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

23237 Issued in MN

Legal business name

GERIATRIC & GENERAL PSYCHIATRY

Practice address

6525 Drew Ave S
Edina, MN 55435

Phone

(952) 920-6748

Fax

(952) 920-3863

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

William Callahan, MD

Title

Owner

Phone

(952) 920-6748

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1114020641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 DREW AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-920-6748",
            "fax_number": "952-920-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 DREW AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-920-6748",
            "fax_number": "952-920-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC & GENERAL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-920-6748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MN",
            "license": "23237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57Q79CA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Roger Gendron, MD
• Genoa Healthcare LLC
• Shawn Marie Gentz, CRNA
• Gerald D. Cavanaugh & William F. Liljemark
• Christa L Gerber, MSW, LICSW
• Todd Christopher Gerlach, DDS
• Roberto Carlos Geronimo
• Carly Gershone, MA, LPCC
• Kimberly Anne Gerten, MD
• David Gesensway, M.D.

• Geriatric Psychiatry Physician in Edina, MN
• Providers in Edina, MN by specialty
• Geriatric Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.