Organization Active NPI

Margaret Flaget-Greener, PSYD LLC

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1649780362
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5625 Issued in MN
Legal business name
MARGARET FLAGET-GREENER, PSYD LLC
Practice address
5200 Willson Rd Ste 307
Minneapolis, MN 55424-1344
Phone
(651) 234-0722
NPI assigned
Oct 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Dr. Margaret Anne Flaget-Greener, PSYDNPI 1497195358
Title
Clinical Psychologist
Phone
(651) 234-0722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP5625 MN Primary

Addresses

Primary practice location

5200 Willson Rd Ste 307
Minneapolis, MN 55424-1344

Mailing address

9111 Stanlen Rd
St Louis Park, MN 55426-2351
Phone (610) 675-4249

Other identifiers 1

IdentifierTypeStateIssuer
1497195358MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171226000423 MN Part B Supplier - Clinic/Group Practice 5698033579 Receives reassigned benefits from 1 practitioner
Practice locations: Edina, MN

National Provider Directory

National Provider Directory

Locations

5200 Willson Rd
Ste 307
Minneapolis, MN 55424
Phone (612) 405-5565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1649780362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 STANLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554262351",
            "telephone_number": "610-675-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 307",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554241344",
            "telephone_number": "651-234-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET FLAGET-GREENER, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-08",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "FLAGET-GREENER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-234-0722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497195358",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.