Minneapolis Clinical Associates in Psychiatry LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINNEAPOLIS CLINICAL ASSOCIATES IN PSYCHIATRY LTD

Practice address

2960 Winnetka Ave N
Ste 208
Crystal, MN 55427-2853

Phone

(763) 512-1090

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Susan Mork

Title

Office Manager

Phone

(763) 512-1090

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

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

• Florence K McNerney, RN CS LICSW

  • Adult Health Nurse Practitioner
  • Saint Paul, MN
  • NPI 1912995796
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1679563142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 WINNETKA AVE N",
            "address_2": "STE 208",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554272853",
            "telephone_number": "763-512-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 WINNETKA AVE N",
            "address_2": "STE 208",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554272853",
            "telephone_number": "763-512-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS CLINICAL ASSOCIATES IN PSYCHIATRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "MORK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-512-1090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE MN",
            "identifier": "109039",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130512300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7079249",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1814",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11618",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie McDevitt, PHARMD
• Jerri A McMahon
• Metropolitan Human Services, LLC
• Cynthia Jean Miller
• Mirnda Louise Miller
• Minnesota Senior Living LLC
• Minnesota Teen Challenge, Inc.
• Kowsar A Mohamed
• Muna Rasheed Mohamed
• Mustafa Mohamed

• Psychiatry Physician in Crystal, MN
• Providers in Crystal, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.