Active NPI
Behavioral Health Solutions
- Psychologist
- Minneapolis, MN
National Provider Identifier
1164685285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3759
- Legal business name
- BEHAVIORAL HEALTH SOLUTIONS
- Practice address
- 621 West Lake Street
Suite 350
Minneapolis, MN 55408 - Phone
- (612) 314-0646
- NPI assigned
- Jul 9, 2008
- Reactivated
- Sep 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisette Wright, MA, LP
- Title
- Executive Director
- Phone
- (612) 314-0646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3759 | MN | Primary |
Addresses
Primary practice location
621 West Lake Street
Suite 350
Minneapolis, MN 55408
Mailing address
621 W. Lake Street
Suite 350
Minneapolis, MN 55408
Phone (612) 314-0646
National Provider Directory
National Provider DirectoryLocations
621 W Lake St
Ste 350
Minneapolis, MN 55408
Phone (612) 547-9990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474502400000",
"number": "1164685285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W. LAKE STREET",
"address_2": "SUITE 350",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55408",
"telephone_number": "612-314-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 WEST LAKE STREET",
"address_2": "SUITE 350",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55408",
"telephone_number": "612-314-0646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTH SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-09",
"last_updated": "2016-09-22",
"deactivation_date": "2016-08-04",
"reactivation_date": "2016-09-22",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "LISETTE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "612-314-0646",
"authorized_official_credential": "MA, LP"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MN",
"license": "3759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.