Organization Active NPI

Brookview Psychology & Consulting Services LLC

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1508500455
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BROOKVIEW PSYCHOLOGY & CONSULTING SERVICES LLC
Practice address
2136 Ford Pkwy # 5108
Saint Paul, MN 55116-2850
Phone
(651) 964-0496
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Dr. Thomas Nguyen, PSYD, LPNPI 1043617962
Title
Ceo
Phone
(561) 432-0400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

2136 Ford Pkwy # 5108
Saint Paul, MN 55116-2850

Mailing address

2136 Ford Pkwy # 5108
Saint Paul, MN 55116-2850
Phone (651) 432-0400

National Provider Directory

National Provider Directory

Locations

2701 University Ave SE
Ste 205
Minneapolis, MN 55414
Phone (612) 767-7770

2136 Ford Pkwy
#5108
Saint Paul, MN 55116
Phone (651) 964-0496

Practitioners & affiliated clinicians

Practitioners 1

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": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1508500455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "651-432-0400",
            "fax_number": "651-432-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "651-964-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVIEW PSYCHOLOGY & CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-432-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.