Active NPI
180 Degrees, Inc
- Community/Behavioral Health Agency
- Minneapolis, MN
National Provider Identifier
1700200425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- 180 DEGREES, INC
- Practice address
- 236 Clifton Ave
Minneapolis, MN 55403-3466 - Phone
- (612) 870-7227
- NPI assigned
- Feb 17, 2014
- Organization subpart
- Yes
- Parent organization
- 180 DEGREES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard J Gardell
- Title
- Ceo
- Phone
- (612) 813-5010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
236 Clifton Ave
Minneapolis, MN 55403-3466
Mailing address
236 Clifton Ave
Minneapolis, MN 55403-3466
National Provider Directory
National Provider Directory- Part of
- 180 Degrees Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426550400000",
"number": "1700200425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 CLIFTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 CLIFTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033466",
"telephone_number": "612-870-7227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "180 DEGREES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "180 DEGREES, INC",
"enumeration_date": "2014-02-17",
"last_updated": "2015-03-17",
"status": "A",
"authorized_official_last_name": "GARDELL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-813-5010"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.