Sam Psychiatric Consulting Services LLC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

Legal business name

SAM PSYCHIATRIC CONSULTING SERVICES LLC

Practice address

253 5TH St SE
Suite #2
Pine City, MN 55063-1580

Phone

(320) 629-3232

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Susan A Mans

Title

Owner

Phone

(320) 629-3232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1629529995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 5TH . STREET SE",
            "address_2": "SUITE #2",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 5TH ST SE",
            "address_2": "SUITE #2",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631580",
            "telephone_number": "320-629-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM PSYCHIATRIC CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "MANS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-629-3232"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Pine City, MN by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.