Progressive Individual Resources II

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

Organization subpart

No

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

Authorized official

Name

Dr. Richard Bolade Oni, PHD, LISW

Title

Director

Phone

(612) 749-3309

Specialties & licenses 1

Addresses

Other names 1

• Progressive Individual Resources Inc Other name

Locations

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"
        }
    ]
}

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• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• 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.