Psychoanalytic Consultants, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PSYCHOANALYTIC CONSULTANTS, INC.

Practice address

950 Saint Clair Ave
Saint Paul, MN 55105-3214

Phone

(651) 293-1684

Fax

(651) 293-1562

NPI assigned

Oct 1, 2020

Organization subpart

No

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

Authorized official

Name

John A Desteian, DPSYNPI 1174532279

Title

Owner

Phone

(651) 293-1684

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PCI Doing business as

Electronic endpoints 1

Practitioners 2

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

• John Armen Desteian, JD, DPSY

  • Family Psychologist
  • Saint Paul, MN
  • NPI 1174532279
  NPD Authorized official
• Judith Ann Savage, MSW

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1578574539
  NPD (past)

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1225635444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SAINT CLAIR AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053214",
            "telephone_number": "651-293-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SAINT CLAIR AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053214",
            "telephone_number": "651-293-1684",
            "fax_number": "651-293-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOANALYTIC CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DESTEIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-293-1684",
        "authorized_official_credential": "DPSY"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "LICSW2014",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LP",
            "identifier": "LPO485",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "availity.com",
            "affiliation": "N",
            "endpointDescription": "clearinghouse",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clearinghouse",
            "address_1": "950 Saint Clair Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551053214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PCI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorothy Pryor, LPN
• Mary Jean Przybylski, RN
• Psybiz, Inc.
• Psych Recovery Inc
• Psychiatric Recovery PA
• Psychological Health Associates, P.a.
• Psychology & Rehabilitation Services, LTD
• Psychology of Health
• Psychotherapy and Resilience, PLLC
• Abigail Ann Psyck, MD

• Adult Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.