Organization Active NPI

Extraordinary Machine LLC

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1154022473
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EXTRAORDINARY MACHINE LLC
Practice address
541 Selby Ave
Saint Paul, MN 55102-1728
Phone
(612) 760-3558
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Hannah Rogak, LMFTNPI 1003355660
Title
Owner
Phone
(612) 760-3558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

541 Selby Ave
Saint Paul, MN 55102-1728

Mailing address

2515 White Bear Ave N # A8-133
Maplewood, MN 55109-5155
Phone (612) 760-3558

Other names 1

  • Extraordinary Machine Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2515 White Bear Ave N
#A8133
Maplewood, MN 55109

2303 Wycliff St
Ste 320
Saint Paul, MN 55114
Phone (651) 419-1086

541 Selby Ave
Saint Paul, MN 55102
Phone (612) 284-1848

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1154022473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 WHITE BEAR AVE N # A8-133",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095155",
            "telephone_number": "612-760-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021728",
            "telephone_number": "612-760-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY MACHINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "ROGAK",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-760-3558",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extraordinary Machine Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.