Active NPI
Thomas Michael Graske, MA LP CSAT
- Psychologist
- Shoreview, MN
National Provider Identifier
1679649602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3334
- Practice address
- 521 Tanglewood Drive
Shoreview, MN 55126-2016 - Phone
- (763) 753-1785
- Fax
- (763) 753-1753
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3334 | MN | Primary |
Addresses
Primary practice location
521 Tanglewood Drive
Shoreview, MN 55126-2016
Mailing address
521 Tanglewood Drive
Thomas M Graske Ma LP Csat Woodcrest Counseling Inc
Shoreview, MN 55126-2016
Phone (763) 753-1785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3334 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679649602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 TANGLEWOOD DRIVE",
"address_2": "THOMAS M GRASKE MA LP CSAT WOODCREST COUNSELING INC",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551262016",
"telephone_number": "763-753-1785",
"fax_number": "763-753-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 TANGLEWOOD DRIVE",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551262016",
"telephone_number": "763-753-1785",
"fax_number": "763-753-1753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASKE",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MA LP CSAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreview, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.