Active NPI
Germanson MD Psychiatry LTD
- Psychiatry Physician
- Minnetonka, MN
National Provider Identifier
1386896744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43294
- Legal business name
- GERMANSON MD PSYCHIATRY LTD
- Practice address
- 13911 Ridgedale Drive
Suite 320
Minnetonka, MN 55305 - Phone
- (952) 956-4057
- Fax
- (952) 333-8196
- NPI assigned
- Oct 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Twila Bauer Germanson, MD
- Title
- Owner
- Phone
- (952) 956-4057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 43294 | MN | Primary |
Addresses
Primary practice location
13911 Ridgedale Drive
Suite 320
Minnetonka, MN 55305
Mailing address
1161 Wayzata Blvd E
#228
Wayzata, MN 55391-1935
Phone (952) 956-4057
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816898900 | Medicaid | MN | |
| 279GIGE | Other | MN | BCBSMN |
| 171122 | Other | MN | VCARE |
National Provider Directory
National Provider DirectoryLocations
13911 Ridgedale Dr
Ste 450
Minnetonka, MN 55305
Phone (612) 272-0800
13911 Ridgedale Dr
Ste 160
Minnetonka, MN 55305
Phone (952) 545-6038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644192000000",
"number": "1386896744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 WAYZATA BLVD E",
"address_2": "#228",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553911935",
"telephone_number": "952-956-4057",
"fax_number": "952-333-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DRIVE",
"address_2": "SUITE 320",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "952-956-4057",
"fax_number": "952-333-8196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERMANSON MD PSYCHIATRY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-16",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A",
"authorized_official_last_name": "GERMANSON",
"authorized_official_first_name": "TWILA",
"authorized_official_middle_name": "BAUER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-956-4057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "43294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816898900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "279GIGE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VCARE",
"identifier": "171122",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.