Organization Active NPI

Denise Tromblay, Ma, LP

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1225401433
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3966 Issued in MN
Legal business name
DENISE TROMBLAY, MA, LP
Practice address
615 W 35TH St
Minneapolis, MN 55408-4602
Phone
(612) 418-5812
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
CJ Hordynski
Title
Office Manager
Phone
(612) 237-9238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3966 MN Primary

Addresses

Primary practice location

615 W 35TH St
Minneapolis, MN 55408-4602

Mailing address

615 W 35TH St
Minneapolis, MN 55408-4602
Phone (612) 418-5812

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1225401433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 35TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084602",
            "telephone_number": "612-418-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 35TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084602",
            "telephone_number": "612-418-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE TROMBLAY, MA, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "HORDYNSKI",
        "authorized_official_first_name": "CJ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-237-9238"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "3966",
            "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 Nov 10, 2015; 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.