Damir S. Utrzan, PH.D., LMFT, DAAETS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3322 Issued in MN

Practice address

1295 Northland Dr Ste 270
Mendota Heights, MN 55120-1373

Phone

(612) 900-7021

NPI assigned

Feb 11, 2017

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Paul Como Community Unit

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Paul, MN
  • NPI 1740462969
  NPD (past)

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1548708464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 SIBLEY MEMORIAL HWY STE NO250",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551182324",
            "telephone_number": "612-900-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 NORTHLAND DR STE 270",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201373",
            "telephone_number": "612-900-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTRZAN",
        "first_name": "DAMIR",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT, DAAETS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2039-124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twin Cities Occupational Health and Rehabilitation
• Twin Cities Physical Therapy and Rehabilitation
• U.S. Healthworks Medical Group of Minnesota, PC
• United Cambodian Association of Minnesota, Inc.
• Gutata Urgessa
• Kevin James Van Patten
• Alicia Vang
• Savannah Vang
• Rebecca Anne Venier, LICSW
• Mary Margaret Verdeja, LSW, BA, FC

• Marriage & Family Therapist in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.