NPIMap

Organization Active NPI

Blue Peak Consulting, LLC

  • Psychologist
  • Golden Valley, MN
National Provider Identifier
1366988701
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5564 Issued in MN
Legal business name
BLUE PEAK CONSULTING, LLC
Practice address
1640 Hampshire Ave N
Golden Valley, MN 55427-4212
Phone
(703) 447-8428
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Margaret Gavian, PHDNPI 1972757292
Title
Owner
Phone
(703) 447-8428

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 5564 MN Primary

Addresses

Primary practice location

1640 Hampshire Ave N
Golden Valley, MN 55427-4212

Mailing address

1640 Hampshire Ave N
Golden Valley, MN 55427-4212
Phone (703) 447-8428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1366988701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 HAMPSHIRE AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274212",
            "telephone_number": "703-447-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HAMPSHIRE AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274212",
            "telephone_number": "703-447-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PEAK CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "GAVIAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-447-8428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.