Organization Active NPI

Behavioral Health Solutions

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1164685285
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3759 Issued in MN
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

Updated by the provider on Sep 22, 2016

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.