Active NPI
Gerald J August, PHD
- Psychologist
- Minneapolis, MN
National Provider Identifier
1689758591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP 0331
- Practice address
- 2312 S 6TH St
Suite F256/2B W
Minneapolis, MN 55454-1336 - Phone
- (612) 672-6600
- NPI assigned
- Oct 25, 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 | LP 0331 | MN | Primary |
Addresses
Primary practice location
2312 S 6TH St
Suite F256/2B W
Minneapolis, MN 55454-1336
Mailing address
2312 S 6TH St
Suite F256/2B W
Minneapolis, MN 55454-1336
Phone (612) 672-6600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-39920 | Other | MN | MEDICA |
| 102715 | Other | MN | UCARE |
| HP28809 | Other | MN | HEALTHPARTNERS |
| 1014364 | Other | MN | PREFERRED ONE |
| 8D916AU | Other | MN | BLUE CROSS BLUE SHIELD |
| 768003 | Other | MN | ARAZID |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 0331 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689758591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 S 6TH ST",
"address_2": "SUITE F256/2B W",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541336",
"telephone_number": "612-672-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 S 6TH ST",
"address_2": "SUITE F256/2B W",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541336",
"telephone_number": "612-672-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUST",
"first_name": "GERALD",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP 0331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "61-39920",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "102715",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP28809",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1014364",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8D916AU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZID",
"identifier": "768003",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
- Caro Auger, MD
- David R Aughey, MD
- Augsburg Fairview Academy
- Augsburg Fairview Academy
- Joshua D Augst
- Augustana Chapel View Homes, Inc (Augustana Apartments of Minneapolis)
- Augustana Chapel View Homes, Inc.
- Augustana Community Partners (Heritage Commons)
- Augustana Community Partners
- Augustana Community Partners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.