Organization Active NPI

Mood and Sleep Clinic

  • Clinical Psychologist
  • Northfield, MN
National Provider Identifier
1609694272
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MOOD AND SLEEP CLINIC
Practice address
1624 Cannon Valley Dr
Northfield, MN 55057-3362
Phone
(507) 403-7976
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Dr. William Hoekstra, PSY.D.NPI 1578527289
Title
Owner, Ceo
Phone
(507) 403-7976

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1624 Cannon Valley Dr
Northfield, MN 55057-3362

Mailing address

1624 Cannon Valley Dr
Northfield, MN 55057-3362
Phone (507) 403-7976

National Provider Directory

National Provider Directory

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": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1609694272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 CANNON VALLEY DR",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573362",
            "telephone_number": "507-403-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 CANNON VALLEY DR",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573362",
            "telephone_number": "507-403-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOD AND SLEEP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "HOEKSTRA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "507-403-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.