Active NPI
Shoshana Center for Reproductive Health Psychology, PLLC
- Health Psychologist
- Saint Paul, MN
National Provider Identifier
1689120123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- LP1281
- Legal business name
- SHOSHANA CENTER FOR REPRODUCTIVE HEALTH PSYCHOLOGY, PLLC
- Doing business as
- Shoshana Center
- Practice address
- 475 Cleveland Ave N
Suite 200
Saint Paul, MN 55104-5031 - Phone
- (651) 645-5504
- Fax
- (651) 645-5517
- NPI assigned
- Aug 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deborah Ellen Rich, PHD, LP, CPLC
- Title
- Owner/Director
- Phone
- (651) 645-5504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | LP1281 | MN | Primary |
Addresses
Primary practice location
475 Cleveland Ave N
Suite 200
Saint Paul, MN 55104-5031
Mailing address
1836 Iglehart Ave
Saint Paul, MN 55104-3522
Phone (651) 431-8506
Other names 1
- Shoshana Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Saint Paul, MN
- NPI 1609942689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1689120123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 IGLEHART AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043522",
"telephone_number": "651-431-8506",
"fax_number": "651-603-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 CLEVELAND AVE N",
"address_2": "SUITE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045031",
"telephone_number": "651-645-5504",
"fax_number": "651-645-5517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOSHANA CENTER FOR REPRODUCTIVE HEALTH PSYCHOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "RICH",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "651-645-5504",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LP, CPLC"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": "MN",
"license": "LP1281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shoshana Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.