Organization Active NPI

Shoshana Center for Reproductive Health Psychology, PLLC

  • Health Psychologist
  • Saint Paul, MN
National Provider Identifier
1689120123
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
LP1281 Issued in MN
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

Updated by the provider on Aug 25, 2016

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)CodeLicenseStatePrimary
Health PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.