Jim Horgan Ma, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP3371 Issued in MN

Legal business name

JIM HORGAN MA, LP

Practice address

109 S 5TH St
Suite 400
Marshall, MN 56258-1240

Phone

(507) 929-0733

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Jim Horgan, LP

Title

Owner, Licensed Psychologist

Phone

(507) 929-0733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659594372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S 5TH ST",
            "address_2": "SUITE 400",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581240",
            "telephone_number": "507-929-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S 5TH ST",
            "address_2": "SUITE 400",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581240",
            "telephone_number": "507-929-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM HORGAN MA, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORGAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "507-929-0733",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Marshall, MN
• Providers in Marshall, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.