Organization Active NPI

J Taborn Associates Inc

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1356525513
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP2524 Issued in MN
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

Updated by the provider on Dec 24, 2007

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.