Diane M Schlagel – Psychologist in Aitkin, MN

Key facts

NPI: 1356550693
Entity type: Organization (NPI type 2)
Primary specialty: Psychologist 103T00000X
License: LP1559 (MN)
Legal business name: DIANE M SCHLAGEL
Practice address: 29746 394TH PL
Aitkin, MN 56431-4446
Phone: (218) 927-3417
Fax: (218) 927-3417
NPI assigned: May 22, 2007
Organization subpart: No

Authorized official

Name: Diane M Schlagel, M.S. , L.P. NPI 1366454068
Title: Owner
Phone: (218) 927-3417

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Diane Schlagel, MSLP Psychologist · Aitkin, MN · NPI 1366454068

NPD (past) Authorized official PSYCHOLOGIST

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103T00000X	LP1559	MN	Yes

Addresses

Primary practice location

29746 394TH PL
Aitkin, MN 56431-4446

Mailing address

29746 394TH PL
Aitkin, MN 56431-4446
Phone (218) 927-3417

Other identifiers

Identifier	Type	State	Issuer
117273	Other	MN	UCARE
62-05540	Other	MN	MEDICA UBH
56432SC	Other	MN	BCBS
371752600	Medicaid	MN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2008.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1356550693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29746 394TH PL",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564314446",
            "telephone_number": "218-927-3417",
            "fax_number": "218-927-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29746 394TH PL",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564314446",
            "telephone_number": "218-927-3417",
            "fax_number": "218-927-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE M SCHLAGEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SCHLAGEL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-927-3417",
        "authorized_official_credential": "M.S. , L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "117273",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA UBH",
            "identifier": "62-05540",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "56432SC",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371752600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aitkin, MN

All providers in Aitkin, MN · Psychologist in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.