Organization Active NPI

Creative Conversations, Inc.

Doing business as Well Family Clinic

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1699934034
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CREATIVE CONVERSATIONS, INC.
Doing business as
Well Family Clinic
Practice address
1821 University Ave W
295S
Saint Paul, MN 55104-2801
Phone
(651) 642-1704
Fax
(651) 642-9940
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maureen Cleary
Title
Co-Owner
Phone
(651) 642-1704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1821 University Ave W
295S
Saint Paul, MN 55104-2801

Mailing address

1821 University Ave W
295S
Saint Paul, MN 55104-2801
Phone (651) 642-1704

Other names 1

  • Well Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1821 University Ave W
Ste S295
Saint Paul, MN 55104
Phone (651) 470-0845

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1699934034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W",
            "address_2": "295S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042801",
            "telephone_number": "651-642-1704",
            "fax_number": "651-642-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W",
            "address_2": "295S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042801",
            "telephone_number": "651-642-1704",
            "fax_number": "651-642-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONVERSATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "651-642-1704"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Family Clinic",
            "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 Jun 2, 2008; 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.