Brad W Houghton PSYD LP LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

LP4812 Issued in MN

Legal business name

BRAD W HOUGHTON PSYD LP LLC

Practice address

821 Raymond Ave
Saint Paul, MN 55114-1532

Phone

(651) 645-8300

Fax

(651) 645-4603

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Brad William Houghton, PSYD LP

Title

Owner

Phone

(612) 308-7038

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1639588643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141532",
            "telephone_number": "651-645-8300",
            "fax_number": "651-645-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141532",
            "telephone_number": "651-645-8300",
            "fax_number": "651-645-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD W HOUGHTON PSYD LP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "HOUGHTON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-308-7038",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MN",
            "license": "LP4812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Charles Boysen, M.D.
• Catherine Mary Boyum, PT
• Michael J Bozivich, MD
• Ezgi Bozkurt
• Amanda Lynn Braatz
• Mary E Braddock, MD
• Nova Bradford, MSW
• Alexis Bradley
• Jennifer Bradley, LGSW
• Elizabeth Hubbard Brady, LICSW

• Point of Service in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Point of Service in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.