Organization Active NPI

South Minneapolis Psychotherapy

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1649193814
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SOUTH MINNEAPOLIS PSYCHOTHERAPY
Doing business as
South Minneapolis Psychotherapy
Practice address
4325 Grand Ave S
Minneapolis, MN 55409-1913
Phone
(928) 566-8482
NPI assigned
Aug 3, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Emily Wilson James, PHD
Title
Licensed Psychologist
Phone
(928) 566-8482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

4325 Grand Ave S
Minneapolis, MN 55409-1913

Mailing address

202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306

Other practice location 1

202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306
Phone (928) 566-8482

Other names 1

  • South Minneapolis Psychotherapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1649193814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N CEDAR AVE STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 GRAND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091913",
            "telephone_number": "928-566-8482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 N Cedar Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550602306",
            "country_code": "US",
            "telephone_number": "928-566-8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH MINNEAPOLIS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "928-566-8482",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Minneapolis Psychotherapy",
            "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 Sep 15, 2026; 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.