Dreaming Tree Behavioral Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-107927

Legal business name

DREAMING TREE BEHAVIORAL CENTER, INC

Practice address

4708 Manor Brook Dr NW
Rochester, MN 55901-3176

Phone

(507) 272-5646

Fax

(507) 775-6103

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Amy K Mahlum, MS, BCBA

Title

Ceo

Phone

(507) 272-5646

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1649538349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 MANOR BROOK DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013176",
            "fax_number": "507-775-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 MANOR BROOK DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013176",
            "telephone_number": "507-272-5646",
            "fax_number": "507-775-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMING TREE BEHAVIORAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "MAHLUM",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-272-5646",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "1-107927",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": "1669745105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1669745105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Draper, PHARMD
• Myongsu Draper, C.R.N.A.
• Kimberly L Drath, M.D.
• Casey Dravis, OTD
• Megan Grace Drayna
• Monica M Drefahl, M.D.
• Mary Ellen R Dreher, APRN, CRNA
• Melissa Dreier, RN
• Chantel Paige Drentlaw
• Jillian Marissa Drewes, RN, PHN

• Community/Behavioral Health Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.