Active NPI
Robert J Sevenich M.D.,J.D.,P.a.
Doing business as HouseCallMN
- Psychiatry Physician
- Maplewood, MN
National Provider Identifier
1255573358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ROBERT J SEVENICH M.D.,J.D.,P.A.
- Doing business as
- HouseCallMN
- Practice address
- 1714 Howard St N
Maplewood, MN 55109-4842 - Phone
- (612) 509-5522
- Fax
- (651) 414-0279
- NPI assigned
- Apr 3, 2009
- Last updated
- Mar 29, 2021
- 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
- Rachel Polski
- Title
- Office Manager
- Phone
- (651) 444-8512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
1714 Howard St N
Maplewood, MN 55109-4842
Mailing address
855 Village Center Dr Ste 181
North Oaks, MN 55127-3016
Phone (651) 444-8512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 903318100 | Medicaid | MN |
Other names 1
- HouseCallMN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
988 Inwood Ave N
Oakdale, MN 55128
Phone (651) 263-4438
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatry Physician
- Saint Paul, MN
- NPI 1801856307
-
- Clinical Social Worker
- Willmar, MN
- NPI 1992213011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1255573358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 VILLAGE CENTER DR STE 181",
"city": "NORTH OAKS",
"state": "MN",
"postal_code": "551273016",
"telephone_number": "651-444-8512",
"fax_number": "651-414-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 HOWARD ST N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551094842",
"telephone_number": "612-509-5522",
"fax_number": "651-414-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J SEVENICH M.D.,J.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-03",
"last_updated": "2021-03-29",
"certification_date": "2021-02-16",
"status": "A",
"authorized_official_last_name": "POLSKI",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "651-444-8512"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "903318100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HouseCallMN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HouseCallMN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.