Phyllis Wheatley Community Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHYLLIS WHEATLEY COMMUNITY CENTER, INC.

Practice address

1301 10TH Ave N
Minneapolis, MN 55411-4406

Phone

(612) 374-4342

Fax

(612) 377-9089

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Brianna Michelle Miller

Title

Executive Director

Phone

(612) 374-4342

Specialties & licenses 1

Addresses

Other names 1

• Phyllis Wheatley Community Center, PWCC Doing business as

Locations

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669998357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 10TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554114406",
            "telephone_number": "612-374-4342",
            "fax_number": "612-377-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 10TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554114406",
            "telephone_number": "612-374-4342",
            "fax_number": "612-377-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS WHEATLEY COMMUNITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-374-4342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phyllis Wheatley Community Center, PWCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.