Organization Active NPI

Cairns Psychological Services

  • Community/Behavioral Health Agency
  • Minnetonka, MN
National Provider Identifier
1215258140
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP 3332 Issued in MN
Legal business name
CAIRNS PSYCHOLOGICAL SERVICES
Practice address
16204 Highway 7
Minnetonka, MN 55345-3405
Phone
(952) 934-2555
Fax
(952) 934-3010
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Molly Deprekel, LP
Title
Clinical Director
Phone
(952) 934-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LP 3332 MN Primary

Addresses

Primary practice location

16204 Highway 7
Minnetonka, MN 55345-3405

Mailing address

16204 Highway 7
Minnetonka, MN 55345-3405
Phone (952) 934-2555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1215258140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16204 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453405",
            "telephone_number": "952-934-2555",
            "fax_number": "952-934-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16204 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453405",
            "telephone_number": "952-934-2555",
            "fax_number": "952-934-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAIRNS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "DEPREKEL",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "952-934-2555",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP 3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.