NPIMap

Organization Active NPI

Psybiz, Inc.

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1316230238
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP1277 Issued in MN
Legal business name
PSYBIZ, INC.
Practice address
155 Wabasha St S Ste 122
Saint Paul, MN 55107-1822
Phone
(651) 983-0383
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. John Timothy O'Regan, PH.D.
Title
President
Phone
(612) 810-5943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X LP1277 MN Primary

Addresses

Primary practice location

155 Wabasha St S Ste 122
Saint Paul, MN 55107-1822

Mailing address

4159 Strawberry LN
Eagan, MN 55123-1429
Phone (612) 810-5943

National Provider Directory

National Provider Directory

Locations

155 Wabasha St S
Saint Paul, MN 55107
Phone (651) 291-7047

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1316230238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 STRAWBERRY LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231429",
            "telephone_number": "612-810-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WABASHA ST S STE 122",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071822",
            "telephone_number": "651-983-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYBIZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "O'REGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-810-5943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.