Tara Waldron

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TARA WALDRON

Practice address

2637 27TH Ave S Ste 247
Minneapolis, MN 55406-1565

Phone

(612) 246-4939

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Tara WaldronNPI 1750723573

Title

Owner

Phone

(651) 242-3290

Specialties & licenses 1

Addresses

Other names 1

• Tara Waldron Doing business as

Locations

Practitioners 1

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

• Tara Waldron, LICSW

  • Clinical Social Worker
  • Blaine, MN
  • NPI 1750723573
  NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1215718481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S STE 247",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061565",
            "telephone_number": "612-246-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S STE 247",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061565",
            "telephone_number": "612-246-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA WALDRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-242-3290"
    },
    "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": [
        {
            "organization_name": "Tara Waldron",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita F Tapio, CHW
• Alaina Taplin Petro, LICSW
• Manaswita Tappata
• Jessica Tapper, ND
• Johnette Diamond Tar, MA
• Hodan Hassan Tarah
• Emily Taras
• Gobind Ram Tarchand, PA-C
• Mary Jo Tardiff
• Target Clinic Minnesota

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.