Organization Active NPI

Humagine, Inc.

  • Marriage & Family Therapist
  • Maple Grove, MN
National Provider Identifier
1306052899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1691 Issued in MN
Legal business name
HUMAGINE, INC.
Practice address
7382 Kirkwood CT
Maple Grove, MN 55369-5270
Phone
(763) 528-3450
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raymond Peter Davey, MANPI 1184830663
Title
President
Phone
(763) 519-1686

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
Marriage & Family Therapist 106H00000X 1691 MN Primary

Addresses

Primary practice location

7382 Kirkwood CT
Maple Grove, MN 55369-5270

Mailing address

6349 Ranchview LN N
Maple Grove, MN 55311-3925
Phone (763) 519-1686

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306052899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 RANCHVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113925",
            "telephone_number": "763-519-1686",
            "fax_number": "763-519-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7382 KIRKWOOD CT",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695270",
            "telephone_number": "763-528-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAGINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVEY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-519-1686",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.