Active NPI
Joann L Planavsky, MSW LICSW
- Clinical Psychologist
- Winona, MN
National Provider Identifier
1699756643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 15023
- Practice address
- 166 Main
Winona, MN 55987 - Phone
- (507) 454-4341
- Fax
- (507) 453-6267
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 15023 | MN | Primary |
Addresses
Primary practice location
166 Main
Winona, MN 55987
Mailing address
166 Main St
Winona, MN 55987-3405
Phone (507) 454-4341
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167852 | Other | MN | UCARE |
| 39D32PL | Other | MN | BCBS |
| 509155100 | Medicaid | MN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1699756643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 MAIN ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559873405",
"telephone_number": "507-454-4341",
"fax_number": "507-453-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 MAIN",
"city": "WINONA",
"state": "MN",
"postal_code": "55987",
"telephone_number": "507-454-4341",
"fax_number": "507-453-6267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANAVSKY",
"first_name": "JOANN",
"middle_name": "L",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "15023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "167852",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "39D32PL",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "509155100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.