Jonathan M Beyer

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1430 Issued in MN

Legal business name

JONATHAN M BEYER

Practice address

324 W Superior St Ste 505
Duluth, MN 55802-1725

Phone

(218) 722-4880

Fax

(218) 722-4662

NPI assigned

Oct 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan McKay Beyer, PH.D., L.P.NPI 1851455869

Title

Owner/Psychologist

Phone

(218) 722-4880

Specialties & licenses 1

Addresses

Other names 1

• Jonathan Beyer PhD LP & Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan McKay Beyer, PHD, LP

  • Psychologist
  • Duluth, MN
  • NPI 1851455869
  NPD (past) Authorized official

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1124539598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 505",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021725",
            "telephone_number": "218-722-4880",
            "fax_number": "218-722-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 505",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021725",
            "telephone_number": "218-722-4880",
            "fax_number": "218-722-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN M BEYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MCKAY",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "218-722-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "1430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan Beyer PhD LP & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Marie Johnson, LPN
• William E. Johnson, MD
• Zoe Johnson
• Jeanine Helen Johnston, DOULA
• Chris Howard Jokinen, MD
• Eleanor E Jones, APRN,CNP
• Ellery Grace Jones
• Gary Wayne Jones
• Jennifer Lynn Jones, M.D.
• Karen Lucy Jones, PA-C

• All providers in Duluth, MN
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.