Individual provider Active NPI

Pamela Marie Haas Cole, MA LP

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1306073234
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5077 Issued in MN
Practice address
300 S 6TH St
A-14
Minneapolis, MN 55487-0999
Phone
(612) 596-1223
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP5077 MN Primary

Addresses

Primary practice location

300 S 6TH St
A-14
Minneapolis, MN 55487-0999

Mailing address

525 Portland Ave
MC 965
Minneapolis, MN 55415-1533

Other identifiers 1

IdentifierTypeStateIssuer
1306073234OtherMNMHCP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LP5077MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1306073234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE",
            "address_2": "MC 965",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 6TH ST",
            "address_2": "A-14",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554870999",
            "telephone_number": "612-596-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS COLE",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "1306073234",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.