NPIMap

Organization Active NPI

Sara J. W. Biebl, PH.D., Licensed Psychologist, PLLC

  • Clinical Psychologist
  • Bloomington, MN
National Provider Identifier
1154885028
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SARA J. W. BIEBL, PH.D., LICENSED PSYCHOLOGIST, PLLC
Practice address
7900 Xerxes Ave S Ste 1125
Bloomington, MN 55431-1112
Phone
(952) 854-2622
Fax
(952) 854-3293
NPI assigned
Jan 24, 2019
Last updated
Feb 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Sara J. W. Biebl, PH.D.NPI 1558662148
Title
Clinical Psychologist
Phone
(701) 306-5645

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
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

7900 Xerxes Ave S Ste 1125
Bloomington, MN 55431-1112

Mailing address

500 Utah Ave S
Golden Valley, MN 55426-1330
Phone (701) 306-5645

National Provider Directory

National Provider Directory

Locations

7900 Xerxes Ave S
Ste 1125
Minneapolis, MN 55431
Phone (612) 309-7165

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1154885028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UTAH AVE S",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261330",
            "telephone_number": "701-306-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 XERXES AVE S STE 1125",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311112",
            "telephone_number": "952-854-2622",
            "fax_number": "952-854-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA J. W. BIEBL, PH.D., LICENSED PSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "BIEBL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J. W.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "701-306-5645",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.