Organization Active NPI

Core Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • St Louis Park, MN
National Provider Identifier
1265731012
Registry record updated Mar 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPCC CC00275 Issued in MN
Legal business name
CORE PSYCHOTHERAPY, LLC
Practice address
5871 Cedar Lake Rd S Ste 220
St Louis Park, MN 55416-3804
Phone
(612) 293-9332
Fax
(267) 363-2411
NPI assigned
Mar 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2011

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

Authorized official

Name
Mr. Matthew M. Paymar, M.A., LPCCNPI 1568761807
Title
Owner
Phone
(612) 293-9332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPCC CC00275 MN Primary

Addresses

Primary practice location

5871 Cedar Lake Rd S Ste 220
St Louis Park, MN 55416-3804

Mailing address

5871 Cedar Lake Rd S Ste 220
St Louis Park, MN 55416-3804
Phone (612) 293-9332

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300492800000",
    "number": "1265731012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 CEDAR LAKE RD S STE 220",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163804",
            "telephone_number": "612-293-9332",
            "fax_number": "267-363-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 CEDAR LAKE RD S STE 220",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163804",
            "telephone_number": "612-293-9332",
            "fax_number": "267-363-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-19",
        "last_updated": "2011-03-19",
        "status": "A",
        "authorized_official_last_name": "PAYMAR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-293-9332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LPCC CC00275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2011; 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.