Michael Jeffrey Garbow, MS LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1233 Issued in MN

Practice address

1206 W 96TH St
Bloomington, MN 55431-2606

Phone

(952) 884-4882

Fax

(952) 884-0284

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467524611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W 96TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312606",
            "telephone_number": "952-884-4882",
            "fax_number": "952-884-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W 96TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312606",
            "telephone_number": "952-884-4882",
            "fax_number": "952-884-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBOW",
        "first_name": "MICHAEL",
        "middle_name": "JEFFREY",
        "credential": "MS LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HEALTHPLAN",
            "identifier": "6203243",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE MINNESOTA",
            "identifier": "120040",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6291913",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie M Gale
• Jacob H Galema, MA, LMFT
• Samantha Galema, LPCC
• Latanya Ariel Galindo
• Julia Mary Gallogly
• Julieta Garcia-Cordova
• Kaylee Juana Garcia, CNP
• Gardenview Home Health LLC
• Jordan Louise Gardner, DDS
• Pamela A Gardner, PT

• Psychologist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.