Active NPI
Christopher J Basten, LAMFT
- Family Psychologist
- Bloomington, MN
National Provider Identifier
1366623324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- LAMFT 1583
- Practice address
- 1206 W 96TH St
Bloomington, MN 55431-2606 - Phone
- (952) 884-4882
- Fax
- (952) 884-0284
- NPI assigned
- Nov 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | LAMFT 1583 | MN | Primary |
Addresses
Primary practice location
1206 W 96TH St
Bloomington, MN 55431-2606
Mailing address
1206 W 96TH St
Bloomington, MN 55431-2606
Phone (952) 884-4882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAMFT 1583 | MN | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1366623324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 W 96TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554312606",
"telephone_number": "952-884-4882",
"fax_number": "952-884-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 W 96TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554312606",
"telephone_number": "952-884-4882",
"fax_number": "952-884-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTEN",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "LAMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MN",
"license": "LAMFT 1583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.