Doctors Park Mental Health Center, PA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1503 Issued in MN

Legal business name

DOCTORS PARK MENTAL HEALTH CENTER, PA

Practice address

103 Doctors Park
Saint Cloud, MN 56303-1207

Phone

(320) 316-0300

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky Gayle Coulter, LMFT

Title

Supervisor

Phone

(320) 316-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1295121648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DOCTORS PARK",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031207",
            "telephone_number": "320-316-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DOCTORS PARK",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031207",
            "telephone_number": "320-316-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PARK MENTAL HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "320-316-0300",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Dobberstein, RN
• Alyssa Jane Dobmeier, MSW, LGSW, LADC
• Jamie Marie Dockendorf, PA-C
• Nicole Ann Dockendorf, LPN
• Stefanie Ann Dockendorf, PHARMD
• Kimberly Marie Dodds-Thompson, RDN, LD, CDCES
• Dodi Transportion LLC
• Sara Lynn Doelger-Leyk, AUD
• Allison Tracy Turnquist Doerfler, RD LD
• Leaann Doering, MS, LPCC, NCC

• Marriage & Family Therapist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.