NPIMap

Organization Active NPI

On Call Clinicians

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1366887648
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ON CALL CLINICIANS
Practice address
5861 Cedar Lake Rd S
Minneapolis, MN 55416-1653
Phone
(763) 544-1000
Fax
(612) 225-1834
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Judy Goldetsky
Title
Owner
Phone
(763) 544-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MN Primary

Addresses

Primary practice location

5861 Cedar Lake Rd S
Minneapolis, MN 55416-1653

Mailing address

5861 Cedar Lake Rd S
Minneapolis, MN 55416-1653
Phone (763) 544-1000

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": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1366887648",
    "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": "554161653",
            "telephone_number": "763-544-1000",
            "fax_number": "612-225-1834"
        },
        {
            "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": "554161653",
            "telephone_number": "763-544-1000",
            "fax_number": "612-225-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON CALL CLINICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "GOLDETSKY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-544-1000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "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 May 1, 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.