NPIMap

Organization Active NPI

Progressive Individual Resources II

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1255656161
Registry record updated Apr 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROGRESSIVE INDIVIDUAL RESOURCES II
Practice address
220 Robert St S Ste 200
Saint Paul, MN 55107-1692
Phone
(612) 749-3309
Fax
(651) 222-6567
NPI assigned
Apr 3, 2010
Last updated
Apr 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2010

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

Authorized official

Name
Dr. Richard Bolade Oni, PHD, LISWNPI 1720304256
Title
Director
Phone
(612) 749-3309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

220 Robert St S Ste 200
Saint Paul, MN 55107-1692

Mailing address

220 Robert St S Ste 200
Saint Paul, MN 55107-1692
Phone (612) 749-3309

Other names 1

  • Progressive Individual Resources Inc Other name

National Provider Directory

National Provider Directory

Locations

220 Robert St S
Ste 200
Saint Paul, MN 55107
Phone (612) 749-3309

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270252800000",
    "number": "1255656161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ROBERT ST S STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071692",
            "telephone_number": "612-749-3309",
            "fax_number": "651-222-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROBERT ST S STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071692",
            "telephone_number": "612-749-3309",
            "fax_number": "651-222-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE INDIVIDUAL RESOURCES II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A",
        "authorized_official_last_name": "ONI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BOLADE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-749-3309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Individual Resources Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.