Organization Active NPI

Physician Systems Inc

  • Adult Mental Health Clinic/Center
  • Edina, MN
National Provider Identifier
1225424112
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
49252 Issued in MN
Legal business name
PHYSICIAN SYSTEMS INC
Practice address
7400 Metro Blvd
Suite 100 #C
Edina, MN 55439-2316
Phone
(847) 736-6624
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Sreejaya Veluvali
Title
MD
Phone
(847) 736-6624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 49252 MN Primary

Addresses

Primary practice location

7400 Metro Blvd
Suite 100 #C
Edina, MN 55439-2316

Mailing address

7400 Metro Blvd
Suite 100 #C
Edina, MN 55439-2316
Phone (847) 736-6624

National Provider Directory

National Provider Directory

Locations

7400 Metro Blvd
Ste 100
Edina, MN 55439
Phone (847) 736-6624

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1225424112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD",
            "address_2": "SUITE 100 #C",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "847-736-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD",
            "address_2": "SUITE 100 #C",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "847-736-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "VELUVALI",
        "authorized_official_first_name": "SREEJAYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-736-6624"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "49252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.