NPIMap

Organization Active NPI

Minnesota Girls Academy

  • Adolescent and Children Mental Health Clinic/Center
  • Bricelyn, MN
National Provider Identifier
1558878629
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
1081456-2-CRF Issued in MN
Legal business name
MINNESOTA GIRLS ACADEMY
Practice address
PO Box 74
Bricelyn, MN 56014-0074
Phone
(507) 525-1523
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Laura Sue Borris
Title
Staff
Phone
(507) 525-1523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1081456-2-CRF MN Primary

Addresses

Primary practice location

PO Box 74
Bricelyn, MN 56014-0074

Mailing address

PO Box 74
Bricelyn, MN 56014-0074
Phone (507) 525-1523

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1558878629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "BRICELYN",
            "state": "MN",
            "postal_code": "560140074",
            "telephone_number": "507-525-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "BRICELYN",
            "state": "MN",
            "postal_code": "560140074",
            "telephone_number": "507-525-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA GIRLS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "BORRIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "507-525-1523"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "1081456-2-CRF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bricelyn, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.