Midwest Center for Emdr Training

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIDWEST CENTER FOR EMDR TRAINING

Practice address

6400 Flying Cloud Dr
Ste 180
Eden Prairie, MN 55344-3337

Phone

(612) 812-7857

Fax

(952) 600-4136

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Patti J Miller, MA LPNPI 1073734430

Title

Director

Phone

(612) 812-7857

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patti Jane Miller, M.A., L.P.

  • Psychologist
  • St Bonifacius, MN
  • NPI 1073734430
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1316716731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FLYING CLOUD DR",
            "address_2": "STE 180",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443337",
            "telephone_number": "612-812-7857",
            "fax_number": "952-600-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FLYING CLOUD DR",
            "address_2": "STE 180",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443337",
            "telephone_number": "612-812-7857",
            "fax_number": "952-600-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4368 Spruce Rd",
            "address_purpose": "LOCATION",
            "city": "St Bonifacius",
            "state": "MN",
            "postal_code": "553751312",
            "country_code": "US",
            "telephone_number": "612-812-7857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR EMDR TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-812-7857",
        "authorized_official_credential": "MA LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Meysembourg
• Elizabeth Meza Hernandez
• MH Health Care Services, PC
• Michael J Kennedy D.C., P.a.
• Jamie Michels
• Midwest Chiropractic and Wellness
• Midwest Chiropractic and Wellness Center P.a.
• Madisen Mikiska, LPCC
• Kimberley Sloan Miller, MD
• Krista Ann Miller, PA-C

• Psychologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.