Active NPI
Denise Tromblay, Ma, LP
- Clinical Psychologist
- Minneapolis, MN
National Provider Identifier
1225401433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3966
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryNPI 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.