Active NPI
Maggie Elizabeth Bania, LP
- Psychologist
- Brooklyn Center, MN
National Provider Identifier
1265577449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3330
- Practice address
- 7054 Brooklyn Blvd
Brooklyn Center, MN 55429-1370 - Phone
- (763) 560-9610
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3330 | MN | Primary |
Addresses
Primary practice location
7054 Brooklyn Blvd
Brooklyn Center, MN 55429-1370
Mailing address
21617 Nystrom LN
Corcoran, MN 55340-9718
Phone (763) 478-4658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8H322BA | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265577449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21617 NYSTROM LN",
"city": "CORCORAN",
"state": "MN",
"postal_code": "553409718",
"telephone_number": "763-478-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7054 BROOKLYN BLVD",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554291370",
"telephone_number": "763-560-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANIA",
"first_name": "MAGGIE",
"middle_name": "ELIZABETH",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8H322BA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.