NPIMap

Organization Active NPI

Soul Logic, LLC

  • Acupuncturist
  • Saint Paul, MN
National Provider Identifier
1336801836
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SOUL LOGIC, LLC
Practice address
856 Raymond Ave Ste B
Saint Paul, MN 55114-1598
Phone
(651) 788-7903
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Dr. Mona Robbins, DOAMNPI 1376007856
Title
Owner, Manager
Phone
(612) 845-5588

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

856 Raymond Ave Ste B
Saint Paul, MN 55114-1598

Mailing address

856 Raymond Ave Ste B
Saint Paul, MN 55114-1598
Phone (651) 788-7903

National Provider Directory

National Provider Directory

Locations

856 Raymond Ave
Ste B
Saint Paul, MN 55114
Phone (651) 788-7903

Practitioners & affiliated clinicians

Practitioners 1

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": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1336801836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 RAYMOND AVE STE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141598",
            "telephone_number": "651-788-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 RAYMOND AVE STE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141598",
            "telephone_number": "651-788-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL LOGIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "612-845-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOAM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 12, 2021; 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.