Individual provider Active NPI

Constance McLeod Hvass, PH.D.

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1437178738
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1057 Issued in MN
Practice address
2915 Wayzata Blvd
Minneapolis, MN 55405-2145
Phone
(612) 834-0424
Fax
(612) 342-2606
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP1057 MN Primary

Addresses

Primary practice location

2915 Wayzata Blvd
Minneapolis, MN 55405-2145

Mailing address

5225 Holly LN N
#2
Plymouth, MN 55446-1783
Phone (763) 205-1641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1437178738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 HOLLY LN N",
            "address_2": "#2",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554461783",
            "telephone_number": "763-205-1641",
            "fax_number": "612-342-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 WAYZATA BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052145",
            "telephone_number": "612-834-0424",
            "fax_number": "612-342-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HVASS",
        "first_name": "CONSTANCE",
        "middle_name": "MCLEOD",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1057",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 4, 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.