Active NPI
J Taborn Associates Inc
- Psychologist
- Minneapolis, MN
National Provider Identifier
1356525513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP2524
- Legal business name
- J TABORN ASSOCIATES INC
- Practice address
- 1219 Marquette Ave
Suite 80
Minneapolis, MN 55403-2488 - Phone
- (612) 338-9012
- Fax
- (612) 338-9020
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joyce Taborn Jackson, PH.D.
- Title
- Vice-Pres./Licensed Psychologist
- Phone
- (612) 338-9012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP2524 | MN | Primary |
Addresses
Primary practice location
1219 Marquette Ave
Suite 80
Minneapolis, MN 55403-2488
Mailing address
1219 Marquette Ave
Suite 80
Minneapolis, MN 55403-2489
Phone (612) 338-9012
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1033294962
-
- Psychologist
- Minneapolis, MN
- NPI 1174602601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198454400000",
"number": "1356525513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 MARQUETTE AVE",
"address_2": "SUITE 80",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032489",
"telephone_number": "612-338-9012",
"fax_number": "612-338-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 MARQUETTE AVE",
"address_2": "SUITE 80",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032488",
"telephone_number": "612-338-9012",
"fax_number": "612-338-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J TABORN ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JOYCE",
"authorized_official_middle_name": "TABORN",
"authorized_official_title_or_position": "VICE-PRES./LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "612-338-9012",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MN",
"license": "LP2524",
"primary": true
}
],
"identifiers": [],
"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 Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.