Active NPI
Macson Services, Inc
- Community/Behavioral Health Agency
- Minneapolis, MN
National Provider Identifier
1174783872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1045950
- Legal business name
- MACSON SERVICES, INC
- Practice address
- 3737 4TH Ave S
Minneapolis, MN 55409-1326 - Phone
- (612) 823-5127
- Fax
- (612) 823-5127
- NPI assigned
- Jun 16, 2008
- 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
- Ms. Jennifer Jean Macdougall
- Title
- Program Director
- Phone
- (651) 788-2751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1045950 | MN | Primary |
Addresses
Primary practice location
3737 4TH Ave S
Minneapolis, MN 55409-1326
Mailing address
3737 4TH Ave S
Minneapolis, MN 55409-1326
Phone (612) 823-5127
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1174783872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 4TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091326",
"telephone_number": "612-823-5127",
"fax_number": "612-823-5127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 4TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091326",
"telephone_number": "612-823-5127",
"fax_number": "612-823-5127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACSON SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "MACDOUGALL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "651-788-2751",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "1045950",
"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 Jun 16, 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.