NPIMap

Organization Active NPI

Twin Cities Play Therapy Center

  • Community/Behavioral Health Agency
  • Eagan, MN
National Provider Identifier
1316324635
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TWIN CITIES PLAY THERAPY CENTER
Practice address
3440 Federal Dr Ste 150
Eagan, MN 55122-3516
Phone
(651) 452-2305
Fax
(651) 452-2796
NPI assigned
May 6, 2015
Last updated
May 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Shawn Michael Bulgatz, LMFTNPI 1174743561
Title
Owner
Phone
(651) 452-2305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MN Primary

Addresses

Primary practice location

3440 Federal Dr Ste 150
Eagan, MN 55122-3516

Mailing address

3440 Federal Dr Ste 150
Eagan, MN 55122-3516
Phone (651) 452-2305

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1316324635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR STE 150",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223516",
            "telephone_number": "651-452-2305",
            "fax_number": "651-452-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR STE 150",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223516",
            "telephone_number": "651-452-2305",
            "fax_number": "651-452-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES PLAY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "BULGATZ",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-452-2305",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.