Active NPI
Stenlund Psychological Services LLC
- Community/Behavioral Health Agency
- Grand Rapids, MN
National Provider Identifier
1134534076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LP2760
- Legal business name
- STENLUND PSYCHOLOGICAL SERVICES LLC
- Practice address
- 516 S Pokegama Ave
Suite B
Grand Rapids, MN 55744-3800 - Phone
- (218) 327-8937
- Fax
- (218) 327-0348
- NPI assigned
- Jun 30, 2014
- 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
- Mr. Bryan Jon Stenlund, MS/LP
- Title
- Psychologist/Owner
- Phone
- (218) 327-8937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LP2760 | MN | Primary |
Addresses
Primary practice location
516 S Pokegama Ave
Suite B
Grand Rapids, MN 55744-3800
Mailing address
516 S Pokegama Ave
Suite B
Grand Rapids, MN 55744-3800
Phone (218) 327-8937
National Provider Directory
National Provider DirectoryLocations
516 S Pokegama Ave
Ste B
Grand Rapids, MN 55744
Phone (218) 244-9414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453420800000",
"number": "1134534076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 S POKEGAMA AVE",
"address_2": "SUITE B",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557443800",
"telephone_number": "218-327-8937",
"fax_number": "218-327-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 S POKEGAMA AVE",
"address_2": "SUITE B",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557443800",
"telephone_number": "218-327-8937",
"fax_number": "218-327-0348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STENLUND PSYCHOLOGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-30",
"last_updated": "2016-01-22",
"status": "A",
"authorized_official_last_name": "STENLUND",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "218-327-8937",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS/LP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "LP2760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.