Diy Intervention LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

DIY INTERVENTION LLC

Practice address

3634 White Bear Ave N
Saint Paul, MN 55110-4471

Phone

(763) 516-8068

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Joel Cycenas, M.DIV.NPI 1194411090

Title

Director of Business Development

Phone

(763) 516-8068

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joel Edward Cycenas, M. DIV.

  • Pastoral Counselor
  • Saint Paul, MN
  • NPI 1194411090
  NPD Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1659067643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551104471",
            "telephone_number": "763-516-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551104471",
            "telephone_number": "763-516-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "CYCENAS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "763-516-8068",
        "authorized_official_credential": "M.DIV."
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prevention Professional in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Prevention Professional in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.