Organization Active NPI

Macson Services, Inc

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1174783872
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1045950 Issued in MN
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

Updated by the provider on Jun 16, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.