Roots Psychological Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP5231 Issued in MN

Legal business name

ROOTS PSYCHOLOGICAL SERVICES, LLC

Practice address

7026 E Fish Lake Rd
Maple Grove, MN 55311-2832

Phone

(763) 777-1105

NPI assigned

Oct 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Claudia Daml, PSYD, LP

Title

Owner

Phone

(763) 464-4575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1285062133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MAJOR AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223138",
            "telephone_number": "763-464-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "763-777-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "DAML",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-464-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP5231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve R Rogers, M.D.
• Marcia M Rogers, PSYD
• Eric Rohman, MD
• Rachel Roller
• Abdirahman Ibrahim Rone, DNP, APRN, CNP
• Anne Rosario, P.A.
• Andrew Kern Rosdhal, APRN
• Gary Bernard Rosen, M.D.
• Mary K. Rosenberg, APRN CNP
• Kristine Carol Rosenthal, DDS

• Community/Behavioral Health Agency in Maple Grove, MN
• Providers in Maple Grove, 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 Oct 30, 2013; 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.