NPIMap

Organization Active NPI

Northside Center for Emotional Wellness LLC

Doing business as NCE Wellness

  • Clinical Child & Adolescent Psychologist
  • Minneapolis, MN
National Provider Identifier
1629522081
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
LP5051 Issued in MN
Legal business name
NORTHSIDE CENTER FOR EMOTIONAL WELLNESS LLC
Doing business as
NCE Wellness
Practice address
4151 Thomas Ave N
Minneapolis, MN 55412-1517
Phone
(612) 310-8683
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Laurie Schlosser, MA LPNPI 1255543773
Title
Therapist/Owner
Phone
(612) 310-8683

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 Child & Adolescent Psychologist 103TC2200X LP5051 MN Primary

Addresses

Primary practice location

4151 Thomas Ave N
Minneapolis, MN 55412-1517

Mailing address

4151 Thomas Ave N
Minneapolis, MN 55412-1517
Phone (612) 310-8683

Other names 1

  • NCE Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nce Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1629522081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 THOMAS AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121517",
            "telephone_number": "612-310-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 THOMAS AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121517",
            "telephone_number": "612-310-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CENTER FOR EMOTIONAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "612-310-8683",
        "authorized_official_credential": "MA LP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP5051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCE Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.