Individual provider Active NPI

Gregory Scott Alch

  • Psychologist
  • Edina, MN
National Provider Identifier
1164533949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1011 Issued in MN
Practice address
6550 York Ave S
Suite 207
Edina, MN 55435-2347
Phone
(952) 926-6929
Fax
(952) 922-0339
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1011 MN Primary

Addresses

Primary practice location

6550 York Ave S
Suite 207
Edina, MN 55435-2347

Mailing address

6550 York Ave S
Suite 207
Edina, MN 55435-2347
Phone (952) 926-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1011MNMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164533949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S",
            "address_2": "SUITE 207",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352347",
            "telephone_number": "952-926-6929",
            "fax_number": "952-922-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S",
            "address_2": "SUITE 207",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352347",
            "telephone_number": "952-926-6929",
            "fax_number": "952-922-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCH",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.