St. Peter Regional Treatment Center

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

331068 Issued in MN

Legal business name

ST. PETER REGIONAL TREATMENT CENTER

Practice address

100 Freeman Dr
Saint Peter, MN 56082-3504

Phone

(507) 931-7100

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Rod L Kornrumpf

Title

Mental Health Admin Officer

Phone

(763) 712-4010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508804683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979",
            "telephone_number": "651-431-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FREEMAN DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560823504",
            "telephone_number": "507-931-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER REGIONAL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORNRUMPF",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MENTAL HEALTH ADMIN OFFICER",
        "authorized_official_telephone_number": "763-712-4010"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MN",
            "license": "331068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy-Jo Spychala, PSY.D., LP
• St Peter Family Dental Center, P.a.
• St. Peter Eyecare Center
• St. Peter Public Schools
• St. Peter Regional Treatment Center
• Katie Marie Stadheim, MSW, LICSW
• Katie M Stadther, PSYD, LP
• Noah Stageberg
• State Operated Forensic Nursing Services
• Courtney Sticha

• Psychiatric Hospital in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Psychiatric Hospital in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.