NPIMap

Organization Active NPI

Bette Magyar Johnson Consulting, Inc.

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1417188376
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP2862 Issued in MN
Legal business name
BETTE MAGYAR JOHNSON CONSULTING, INC.
Practice address
430 Oak Street
Suite 403
Minneapolis, MN 55403
Phone
(612) 871-8684
Fax
(612) 871-2374
NPI assigned
Jul 27, 2009
Last updated
Jul 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Dr. Bette Magyar Johnson, PH.D.
Title
President
Phone
(952) 404-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP2862 MN Primary

Addresses

Primary practice location

430 Oak Street
Suite 403
Minneapolis, MN 55403

Mailing address

205 Barry Ave S
#321
Wayzata, MN 55391-1655
Phone (952) 404-2610

Other identifiers 4

IdentifierTypeStateIssuer
6145828OtherMNMEDICA-UBH
525850200OtherMNMEDICAL ASSISTANCE
113885OtherMNUCARE
62093JOOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

125 Wayzata Blvd E
Wayzata, MN 55391
Phone (612) 871-8684

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1417188376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BARRY AVE S",
            "address_2": "#321",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911655",
            "telephone_number": "952-404-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 OAK STREET",
            "address_2": "SUITE 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55403",
            "telephone_number": "612-871-8684",
            "fax_number": "612-871-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTE MAGYAR JOHNSON CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "MAGYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-404-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA-UBH",
            "identifier": "6145828",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "525850200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "113885",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62093JO",
            "state": "MN"
        }
    ],
    "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 Jul 27, 2009; 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.