Organization Active NPI

Twin Cities Cognitive Behavioral Treatment Center, LLC

  • Cognitive & Behavioral Psychologist
  • Edina, MN
National Provider Identifier
1497349138
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
TWIN CITIES COGNITIVE BEHAVIORAL TREATMENT CENTER, LLC
Practice address
7400 Metro Blvd Ste 410
Edina, MN 55439-2326
Phone
(630) 621-0661
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Margaret Mullaghy
Title
Director of Operations
Phone
(630) 621-0661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

7400 Metro Blvd Ste 410
Edina, MN 55439-2326

Mailing address

7400 Metro Blvd Ste 410
Edina, MN 55439-2326

Other practice location 1

1595 Selby Ave Ste 209
Saint Paul, MN 55104-4528
Phone (612) 389-0499

National Provider Directory

National Provider Directory

Locations

7400 Metro Blvd
Ste 410
Edina, MN 55439
Phone (612) 389-0499

1595 Selby Ave
Ste 209
Saint Paul, MN 55104
Phone (612) 389-0499

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1497349138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 410",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 410",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392326",
            "telephone_number": "630-621-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 Selby Ave Ste 209",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551044528",
            "country_code": "US",
            "telephone_number": "612-389-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TWIN CITIES COGNITIVE BEHAVIORAL TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "MULLAGHY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "630-621-0661"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.