Behavioral Management PA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

BEHAVIORAL MANAGEMENT PA

Doing business as

Behavioral Medical Interventions

Practice address

7211 Ohms LN
Edina, MN 55439-2148

Phone

(952) 927-0184

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark RaderstorfNPI 1912112798

Title

President

Phone

(952) 927-0184

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Behavioral Medical Interventions 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, and the practitioner matching its NPPES authorized official.

• Mark Raderstorf

  • Counseling Psychologist
  • Edina, MN
  • NPI 1912112798
  Authorized official Same address or phone

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225247372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392148",
            "telephone_number": "952-927-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADERSTORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-927-0184"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "16613",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Medical Interventions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Kaye Beeler, OTR/L
• Gretchen Elizabeth Beer, DO, MBA
• Donn Kirk Beeson, MD
• Beginnings & Beyond Counseling LLC (Play Therapy Minnesota)
• Jeffrey Victor Behar, MD
• Behavioral Medicine Associates, Inc.
• Alison Ann Behnke, D.C.
• Jessica Belden
• Anna Karasik Belenky, P.T.
• Holly Belgum, MD

• Counseling Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.