Active NPI
Marie Casey Olseth, MD, LLC
- Adult Mental Health Clinic/Center
- St Louis Park, MN
National Provider Identifier
1699196337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- PY 49497
- Legal business name
- MARIE CASEY OLSETH, MD, LLC
- Practice address
- 1550 Utica Ave S
Ste 450
St Louis Park, MN 55416-5312 - Phone
- (952) 856-8452
- Fax
- (952) 746-4383
- NPI assigned
- Dec 24, 2013
- 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. Marie Casey Olseth, M.D.
- Title
- Owner
- Phone
- (612) 804-3548
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | PY 49497 | MN | Primary |
Addresses
Primary practice location
1550 Utica Ave S
Ste 450
St Louis Park, MN 55416-5312
Mailing address
23790 Lawtonka Dr
Excelsior, MN 55331-1767
Phone (612) 804-3548
Other names 1
- West End Consultation Group
National Provider Directory
National Provider DirectoryLocations
1550 Utica Ave S
Ste 450
St Louis Park, MN 55416
Phone (952) 856-8452
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- St Louis Park, MN
- NPI 1801846977
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1427601483
-
- Psychiatry Physician
- Saint Paul, MN
- NPI 1871851899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450483200000",
"number": "1699196337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23790 LAWTONKA DR",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553311767",
"telephone_number": "612-804-3548",
"fax_number": "952-746-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 UTICA AVE S",
"address_2": "STE 450",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165312",
"telephone_number": "952-856-8452",
"fax_number": "952-746-4383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIE CASEY OLSETH, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-24",
"last_updated": "2015-12-19",
"status": "A",
"authorized_official_last_name": "OLSETH",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "CASEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-804-3548",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MN",
"license": "PY 49497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West End Consultation Group",
"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 Dec 19, 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.