Organization Active NPI

Stenlund Psychological Services LLC

  • Community/Behavioral Health Agency
  • Grand Rapids, MN
National Provider Identifier
1134534076
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP2760 Issued in MN
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

Updated by the provider on Jan 22, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.