Organization Active NPI

Germanson MD Psychiatry LTD

  • Psychiatry Physician
  • Minnetonka, MN
National Provider Identifier
1386896744
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43294 Issued in MN
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

Updated by the provider on Feb 7, 2022

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
816898900MedicaidMN
279GIGEOtherMNBCBSMN
171122OtherMNVCARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.