Clinical Psychopharmacology Consultants, PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

17068 Issued in MN

Legal business name

CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS, PA

Doing business as

CPC, PA

Practice address

3601 Park Center Blvd
Suite 207
St Louis Park, MN 55416-2531

Phone

(952) 926-3364

Fax

(952) 926-3369

NPI assigned

Sep 26, 2007

Last updated

Sep 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Faruk Said Abuzzahab Sr., MD, PHDNPI 1396714705

Title

President/Owner

Phone

(952) 926-3364

Specialties & licenses 1

Addresses

Other names 1

• CPC, PA Doing business as

Locations

Practitioners 2

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.

• Faruk Said Abuzzahab Sr., M.D., PHD

  • Psychiatry Physician
  • St Louis Park, MN
  • NPI 1396714705
  NPD (past) Authorized official
• John Ernest Simon, M.D.

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1255374609
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1508053273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PARK CENTER BLVD",
            "address_2": "SUITE 207",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162531",
            "telephone_number": "952-926-3364",
            "fax_number": "952-926-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PARK CENTER BLVD",
            "address_2": "SUITE 207",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162531",
            "telephone_number": "952-926-3364",
            "fax_number": "952-926-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "ABUZZAHAB",
        "authorized_official_first_name": "FARUK",
        "authorized_official_middle_name": "SAID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "952-926-3364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "17068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPC, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clear Health Chiropractic LLC
• Susan Aleta Cleaveland, P.T.
• Elise Anne Clemens, RD, LD
• Gerri Lee Clements, CNM
• Sarah Clewett
• Melissa Kaye Coble, PSY.D.
• Katherine Coffey-Dietz, ACUPUNCTURIST
• Jill Christine Coggins, RN, CNM
• Elissa A Cohen, DPT
• Jacob Cohen, PA

• Adult Mental Health Clinic/Center in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.