NPIMap

Organization Active NPI

The Center for Christian Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, MN
National Provider Identifier
1174776561
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE CENTER FOR CHRISTIAN PSYCHOLOGICAL SERVICES
Practice address
2780 Snelling Ave N
Suite 104
Roseville, MN 55113-7115
Phone
(651) 633-5290
Fax
(651) 633-5238
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Mr. Steven Roger Wiese, M.S., M.DIV., LPNPI 1194941682
Title
Owner/Director
Phone
(651) 633-5290

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2780 Snelling Ave N
Suite 104
Roseville, MN 55113-7115

Mailing address

2780 Snelling Ave N
Suite 104
Roseville, MN 55113-7115
Phone (651) 633-5290

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1174776561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N",
            "address_2": "SUITE 104",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137115",
            "telephone_number": "651-633-5290",
            "fax_number": "651-633-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N",
            "address_2": "SUITE 104",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137115",
            "telephone_number": "651-633-5290",
            "fax_number": "651-633-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CHRISTIAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "651-633-5290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., M.DIV., LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.