Organization Active NPI

Nuview Psychological Services

  • Clinical Psychologist
  • Stillwater, MN
National Provider Identifier
1487811105
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3566 Issued in MN
Legal business name
NUVIEW PSYCHOLOGICAL SERVICES
Practice address
6120 Oren Ave N
Stillwater, MN 55082-6155
Phone
(651) 430-0888
Fax
(651) 430-0889
NPI assigned
May 20, 2008
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Donae Verbena Gustafson, PSY. D.,L.P.NPI 1598820367
Title
Clinical Psychologist
Phone
(651) 430-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP3566 MN Primary

Addresses

Primary practice location

6120 Oren Ave N
Stillwater, MN 55082-6155

Mailing address

6120 Oren Ave N
Stillwater, MN 55082-6155
Phone (651) 430-0888

National Provider Directory

National Provider Directory

Locations

6120 Oren Ave N
Stillwater, MN 55082
Phone (651) 430-0888

Practitioners & affiliated clinicians

Practitioners 4

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1487811105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 OREN AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826155",
            "telephone_number": "651-430-0888",
            "fax_number": "651-430-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 OREN AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826155",
            "telephone_number": "651-430-0888",
            "fax_number": "651-430-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVIEW PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "DONAE",
        "authorized_official_middle_name": "VERBENA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-430-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D.,L.P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.