NPIMap

Organization Active NPI

Twin Cities Behavioral Health, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, MN
National Provider Identifier
1659674489
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TWIN CITIES BEHAVIORAL HEALTH, PC
Practice address
2 Division St E
Suite 103
Buffalo, MN 55313-1773
Phone
(952) 831-3662
NPI assigned
Dec 16, 2010
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. Joseph I Shagalow, PSYD LPNPI 1164520284
Title
Clinical Director/Owner
Phone
(952) 831-3662

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2 Division St E
Suite 103
Buffalo, MN 55313-1773

Mailing address

7300 Metro Blvd
Suite 635
Edina, MN 55439-2303
Phone (952) 831-3662

National Provider Directory

National Provider Directory
Tax ID family
Twin Cities Behavioral Health PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1659674489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 METRO BLVD",
            "address_2": "SUITE 635",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392303",
            "telephone_number": "952-831-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DIVISION ST E",
            "address_2": "SUITE 103",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131773",
            "telephone_number": "952-831-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "SHAGALOW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "952-831-3662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.