South Central Crisis Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SOUTH CENTRAL CRISIS CENTER

Doing business as

St. Peter Regional Treatment Center

Practice address

521 Pfau St
Mankato, MN 56001-7032

Phone

(507) 389-6872

NPI assigned

Jun 19, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. PETER REGIONAL TREATMENT CENTERAs reported in NPPES

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

Authorized official

Name

Rod L Kornrumpf

Title

Mental Health Admin Officer

Phone

(763) 712-4010

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Peter Regional Treatment Center Doing business as

Tax ID family

Direct Care and Treatment - Forensic Services3 organizations share this tax ID, including this one

Part of

Direct Care and Treatment - Forensic Services

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Direct Care and Treatment - Forensic Services

  • Psychiatric Residential Treatment Facility
  • Saint Peter, MN
  • NPI 1154869832
  NPD tax ID
• South Central Crisis Op

  • Community/Behavioral Health Agency
  • Mankato, MN
  • NPI 1770789711
  NPD tax ID

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1164627022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979",
            "telephone_number": "651-431-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PFAU ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017032",
            "telephone_number": "507-389-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL CRISIS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. PETER REGIONAL TREATMENT CENTER",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KORNRUMPF",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MENTAL HEALTH ADMIN OFFICER",
        "authorized_official_telephone_number": "763-712-4010"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647618100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "467058206",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Peter Regional Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonus-USA, Inc
• Julie Kay Buettner Soost, DC
• Karie M Soost, PA-C
• Reagan Sorenson
• Erin Elizabeth Soucek, CCC-SLP
• South Central Crisis Op
• Southern Minnesota Endodontics LLC (Southern Minnesota Endodontics)
• Southern Minnesota Periodontics PA
• Southern Minnesota Periodontics, PA
• Southern Valley Psychology Clinic, PA

• Mental Illness Community Based Residential Treatment Facility in Mankato, MN
• Providers in Mankato, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.