Derek Thomas Magaard, B.S.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

521 Broadway Avenue North
Five County Mental Health Center - Braham Office
Braham, MN 55006

Phone

(320) 396-3333

Fax

(320) 396-3363

NPI assigned

Oct 29, 2008

Last updated

Oct 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Five County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Braham, MN
  • NPI 1801015417
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1184877599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BROADWAY AVENUE NORTH",
            "address_2": "PO BOX 287",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "55006",
            "telephone_number": "320-396-3333",
            "fax_number": "320-396-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BROADWAY AVENUE NORTH",
            "address_2": "FIVE COUNTY MENTAL HEALTH CENTER - BRAHAM OFFICE",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "55006",
            "telephone_number": "320-396-3333",
            "fax_number": "320-396-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAARD",
        "first_name": "DEREK",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Halsey, MSW LICSW
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• Janel Y Lindgren, MA, LPCC
• John Theophile Lindquist, PHD LP
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• Kimberly Jane Yzermans Nelson
• Kimberly Marie Norberg, BA
• David Michael Noren
• Bradley Wayne Palin, DDS

• Rehabilitation Practitioner in Braham, MN
• Providers in Braham, MN by specialty
• Rehabilitation Practitioner in Minnesota

• 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.