Active NPI
Attention & Learning Specialists
- Clinical Psychologist
- St Louis Park, MN
National Provider Identifier
1477098507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ATTENTION & LEARNING SPECIALISTS
- Practice address
- 5775 Wayzata Blvd, Suite 700
St Louis Park, MN 55416 - Phone
- (612) 799-6263
- Fax
- (888) 827-5513
- NPI assigned
- Dec 28, 2016
- Organization subpart
- Yes
- Parent organization
- ATTENTION & LEARNING SPECIALISTS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allen Stock, MA, LP
- Title
- Owner
- Phone
- (612) 799-6263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | LP 1450 | MN |
Addresses
Primary practice location
5775 Wayzata Blvd, Suite 700
St Louis Park, MN 55416
Mailing address
5775 Wayzata Blvd, Suite 700
St Louis Park, MN 55416
Phone (612) 799-6263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770832875 | Medicaid | MN |
Other names 1
- Psychological Assessment Services
National Provider Directory
National Provider Directory- Part of
- Attention Learning Specialists
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680739200000",
"number": "1477098507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD, SUITE 700",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "612-799-6263",
"fax_number": "888-827-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD, SUITE 700",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "612-799-6263",
"fax_number": "888-827-5513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATTENTION & LEARNING SPECIALISTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATTENTION & LEARNING SPECIALISTS",
"enumeration_date": "2016-12-28",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A",
"authorized_official_last_name": "STOCK",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-799-6263",
"authorized_official_credential": "MA, LP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "LP 1450",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770832875",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Psychological Assessment Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Psychological Assessment Services",
"code": "5",
"type": "Other Name"
}
]
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.