NPIMap

Organization Active NPI

Hearthstone Institute for Emotional Health

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1437466828
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3749 Issued in MN
Legal business name
HEARTHSTONE INSTITUTE FOR EMOTIONAL HEALTH
Practice address
4601 Excelsior Blvd.
Ste 502
Minneapolis, MN 55416-4977
Phone
(952) 285-7170
Fax
(952) 922-8961
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Susan Elizabeth Shaffer, PSYD. L.P.
Title
President
Phone
(612) 387-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP3749 MN Primary

Addresses

Primary practice location

4601 Excelsior Blvd.
Ste 502
Minneapolis, MN 55416-4977

Mailing address

4601 Excelsior Blvd.
Ste 502
Minneapolis, MN 55416-4977
Phone (952) 285-7170

National Provider Directory

National Provider Directory

Locations

4601 Excelsior Blvd
Ste 502
Minneapolis, MN 55416
Phone (952) 285-7170

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1437466828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD.",
            "address_2": "STE 502",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164977",
            "telephone_number": "952-285-7170",
            "fax_number": "952-922-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD.",
            "address_2": "STE 502",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164977",
            "telephone_number": "952-285-7170",
            "fax_number": "952-922-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE INSTITUTE FOR EMOTIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-387-8232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD. L.P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3749",
            "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 Sep 14, 2010; 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.