Organization Active NPI

Cynthia J. Haakana, LLC

  • Clinical Psychologist
  • St Louis Park, MN
National Provider Identifier
1679968341
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1056 Issued in MN
Legal business name
CYNTHIA J. HAAKANA, LLC
Practice address
4500 Park Glen Rd Ste 155
St Louis Park, MN 55416-4888
Phone
(952) 928-0618
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Cynthia Jane Haakana, PH.D.
Title
Owner
Phone
(952) 928-0618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP1056 MN Primary

Addresses

Primary practice location

4500 Park Glen Rd Ste 155
St Louis Park, MN 55416-4888

Mailing address

4500 Park Glen Rd Ste 155
St Louis Park, MN 55416-4888
Phone (952) 928-0618

Other identifiers 1

IdentifierTypeStateIssuer
393050500MedicaidMN

Other names 1

  • Cynthia J. Haakana, Ph.D., L.P. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1679968341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD STE 155",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164888",
            "telephone_number": "952-928-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD STE 155",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164888",
            "telephone_number": "952-928-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA J. HAAKANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "HAAKANA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-928-0618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393050500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia J. Haakana, Ph.D., L.P.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.