The Family Development Center Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE FAMILY DEVELOPMENT CENTER FOUNDATION

Practice address

475 Cleveland Ave N Ste 316
Saint Paul, MN 55104-5051

Phone

(651) 330-3434

Fax

(651) 330-3581

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Alyssa Wright

Title

Executive Director

Phone

(651) 330-3434

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1558869644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N STE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N STE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045051",
            "telephone_number": "651-330-3434",
            "fax_number": "651-330-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY DEVELOPMENT CENTER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-330-3434"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477836815",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174542567",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Emily Program
• The Encore at Mahtomedi
• The Evangelical Lutheran Good Samaritan Society
• The Experience of Neshama
• The Family Development Center
• The Family Development Center, LLC
• The Fashion Eyes Company
• The Filial Piety Center
• The Good Movement Pelvic Health & Wellness
• The Healing House of Saint Paul

• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.