Jan Search MSW Licsw

Primary specialty

PsychologistTaxonomy code 103T00000X

License

02586 Issued in MN

Legal business name

JAN SEARCH MSW LICSW

Practice address

6800 France Ave S
Suite 560
Edina, MN 55435-2007

Phone

(952) 922-2888

Fax

(763) 754-6809

NPI assigned

May 5, 2009

Organization subpart

No

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

Authorized official

Name

Lynette Johnston

Title

Billing

Phone

(952) 922-2888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1265666317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 FRANCE AVE S",
            "address_2": "SUITE 560",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352007",
            "telephone_number": "952-922-2888",
            "fax_number": "763-754-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 FRANCE AVE S",
            "address_2": "SUITE 560",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352007",
            "telephone_number": "952-922-2888",
            "fax_number": "763-754-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN SEARCH MSW LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "952-922-2888"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "02586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.