Organization Active NPI

Ju-Ping Huang PHD LP

  • Psychologist
  • Anoka, MN
National Provider Identifier
1679210280
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JU-PING HUANG PHD LP
Practice address
2665 4TH Ave N Ste 21
Anoka, MN 55303-6629
Phone
(763) 200-4175
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Ju-Ping Huang, PHD LPNPI 1477984433
Title
Owner
Phone
(763) 200-4175

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2665 4TH Ave N Ste 21
Anoka, MN 55303-6629

Mailing address

3673 Lexington Ave N
Suite H-2, #252
Arden Hills, MN 55126
Phone (763) 200-4175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831003809 MN Part B Supplier - Clinic/Group Practice 7911381470 Receives reassigned benefits from 1 practitioner
Practice locations: Fridley, MN

National Provider Directory

National Provider Directory

Locations

2665 4th Ave
Ste 21
Anoka, MN 55303
Phone (763) 200-4175

3673 Lexington Ave N
Ste H2
Saint Paul, MN 55126

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": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1679210280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3673 LEXINGTON AVE N",
            "address_2": "SUITE H-2, #252",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "763-200-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 4TH AVE N STE 21",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553036629",
            "telephone_number": "763-200-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JU-PING HUANG PHD LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "JU-PING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-200-4175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.