Mrs Acquisition Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MRS ACQUISITION CORPORATION

Practice address

8053 E Bloomington Fwy
Bloomington, MN 55420-4577

Phone

(612) 333-2155

Fax

(612) 333-5517

NPI assigned

Jun 21, 2024

Organization subpart

No

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

Authorized official

Name

Justin KingNPI 1356779771

Title

Owner

Phone

(612) 333-2155

Specialties & licenses 1

Addresses

Other names 1

• Metropolitain Rehabilitation Services Doing business as

Practitioners 2

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

• Justin King, PSY.D

  • Clinical Psychologist
  • Burnsville, MN
  • NPI 1356779771
  NPD Authorized official
• Dorothy Lee Jenicke, STUDENT

  • Student in an Organized Health Care Education/Training Program
  • Bloomington, MN
  • NPI 1053088245
  NPD

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1497599724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 E BLOOMINGTON FWY",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204577",
            "telephone_number": "612-333-2155",
            "fax_number": "612-333-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8053 E BLOOMINGTON FWY",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204577",
            "telephone_number": "612-333-2155",
            "fax_number": "612-333-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS ACQUISITION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-333-2155"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitain Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khadija Mowahed
• Lori Louise Mowbray, O.D.
• John D Mowlem, M.D.
• Eline Moyo
• Katherine Mrozek
• Msocs-Bloomington
• MSS
• Casey James Muckenhirn
• Rachel Leigh Muehlbauer, PT, DPT
• Zachary John Muehlenbein, PA-C

• 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 Jun 21, 2024; 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.