Individual provider Active NPI

Josephine Reyes Schelhaas, PSYCHOLOGY GRADUATE

  • Behavior Technician
  • Pipestone, MN
National Provider Identifier
1629648118
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1314 North Hiawatha
Pipestone, MN 56164-2282
Phone
(507) 825-5858
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MN Primary

Addresses

Primary practice location

1314 North Hiawatha
Pipestone, MN 56164-2282

Mailing address

2419 Washington Ave
Montevideo, MN 56265-2619
Phone (320) 877-7074

Other names 1

  • Josephine Cardona Reyes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SWWC Service Cooperatives Current Accepting new patients
SWWC Service Cooperatives CurrentSince Jul 4, 2021 Accepting new patients

Locations

2419 Washington Ave
Montevideo, MN 56265
Phone (320) 321-1484

1314 N Hiawatha Ave
Pipestone, MN 56164
Phone (320) 877-7074

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1629648118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652619",
            "telephone_number": "320-877-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 NORTH HIAWATHA",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561642282",
            "telephone_number": "507-825-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELHAAS",
        "first_name": "JOSEPHINE",
        "middle_name": "REYES",
        "name_prefix": "Mrs.",
        "credential": "PSYCHOLOGY GRADUATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "REYES",
            "middle_name": "CARDONA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pipestone, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.