Organization Active NPI

Mental Health Associates, P.a.

  • Psychologist
  • New Brighton, MN
National Provider Identifier
1417040122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP1424 Issued in MN
Legal business name
MENTAL HEALTH ASSOCIATES, P.A.
Practice address
2475 15TH St NW Ste F
New Brighton, MN 55112-5606
Phone
(651) 639-9660
Fax
(651) 633-9968
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Duane Hugh Thompson, M.A., L.P.
Title
Psychologist
Phone
(651) 639-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP1424 MN Primary

Addresses

Primary practice location

2475 15TH St NW Ste F
New Brighton, MN 55112-5606

Mailing address

2475 15TH St NW Ste F
New Brighton, MN 55112-5606
Phone (651) 639-9669

National Provider Directory

National Provider Directory

Locations

2475 15th St NW
Ste F
New Brighton, MN 55112
Phone (651) 639-9660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417040122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 15TH ST NW STE F",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125606",
            "telephone_number": "651-639-9669",
            "fax_number": "651-633-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 15TH ST NW STE F",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125606",
            "telephone_number": "651-639-9660",
            "fax_number": "651-633-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-639-9660",
        "authorized_official_credential": "M.A., L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.