Organization Active NPI

Frey-Hawkins Psychological Services, PLLC

Doing business as Seeds of Change Psychology Clinic

  • Community/Behavioral Health Agency
  • Saint Peter, MN
National Provider Identifier
1649564766
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP0414 Issued in MN
Legal business name
FREY-HAWKINS PSYCHOLOGICAL SERVICES, PLLC
Doing business as
Seeds of Change Psychology Clinic
Practice address
1304 Marshall St
Suite 2
Saint Peter, MN 56082-4500
Phone
(507) 934-2232
Fax
(507) 934-2096
NPI assigned
Jun 6, 2011
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Ms. Joann Patrice Frey-Hawkins, M.A., L.P.
Title
Chief Manager
Phone
(507) 934-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LP0414 MN Primary

Addresses

Primary practice location

1304 Marshall St
Suite 2
Saint Peter, MN 56082-4500

Mailing address

1304 Marshall St
Suite 2
Saint Peter, MN 56082-4500
Phone (507) 934-2232

Other identifiers 1

IdentifierTypeStateIssuer
1093860587MedicaidMN

Other names 1

  • Seeds of Change Psychology Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1304 Marshall St
#2
Saint Peter, MN 56082
Phone (507) 934-2232

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1649564766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MARSHALL ST",
            "address_2": "SUITE 2",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-934-2232",
            "fax_number": "507-934-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MARSHALL ST",
            "address_2": "SUITE 2",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-934-2232",
            "fax_number": "507-934-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREY-HAWKINS PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "FREY-HAWKINS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "507-934-2232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., L.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP0414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093860587",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seeds of Change Psychology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.