NPIMap

Organization Active NPI

On Call Clinicians, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1356671754
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
LP0508 Issued in MN
Legal business name
ON CALL CLINICIANS, INC.
Practice address
5861 Cedar Lake Rd S
Minneapolis, MN 55416-1481
Phone
(763) 544-1000
Fax
(763) 541-1076
NPI assigned
Jan 6, 2010
Last updated
Jul 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Judy Goldetsky, M. A.
Title
President
Phone
(763) 545-6017

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 7810 MN
Adolescent and Children Mental Health Clinic/Center 261QM0855X LP0508 MN Primary

Addresses

Primary practice location

5861 Cedar Lake Rd S
Minneapolis, MN 55416-1481

Mailing address

5861 Cedar Lake Rd S
Minneapolis, MN 55416-1481
Phone (763) 544-1000

Other names 1

  • Access Therapy Center Other name

National Provider Directory

National Provider Directory
Tax ID family
On Call Clinicians3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1356671754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 CEDAR LAKE RD S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161481",
            "telephone_number": "763-544-1000",
            "fax_number": "763-541-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 CEDAR LAKE RD S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161481",
            "telephone_number": "763-544-1000",
            "fax_number": "763-541-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON CALL CLINICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "GOLDETSKY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-545-6017",
        "authorized_official_credential": "M. A."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MN",
            "license": "7810",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "LP0508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Therapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 25, 2013; 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.