Active NPI
Brih Design LLC
- Cognitive & Behavioral Psychologist
- Minneapolis, MN
National Provider Identifier
1114083540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Legal business name
- BRIH DESIGN LLC
- Practice address
- 4535 Washburn Ave N
Minneapolis, MN 55412-1055 - Phone
- (612) 522-3945
- Fax
- (612) 522-5124
- NPI assigned
- Dec 29, 2006
- 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
- Stacy Demaranville
- Title
- Business Manager
- Phone
- (612) 522-3945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary |
Addresses
Primary practice location
4535 Washburn Ave N
Minneapolis, MN 55412-1055
Mailing address
4535 Washburn Ave N
Minneapolis, MN 55412-1055
Phone (612) 522-3945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60D83OS | Other | MN | BLUECROSSBLUESHEILD GRP# |
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.
-
- Cognitive & Behavioral Psychologist
- Minneapolis, MN
- NPI 1942380316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114083540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 WASHBURN AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554121055",
"telephone_number": "612-522-3945",
"fax_number": "612-522-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 WASHBURN AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554121055",
"telephone_number": "612-522-3945",
"fax_number": "612-522-5124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIH DESIGN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEMARANVILLE",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "612-522-3945"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHEILD GRP#",
"identifier": "60D83OS",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.