Geropsych Health Services, Inc.

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

R1077485 Issued in MN

Legal business name

GEROPSYCH HEALTH SERVICES, INC.

Practice address

611 Spruce Grove LN NW
Bemidji, MN 56601-7746

Phone

(218) 209-1137

Fax

(218) 333-0335

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Saunda M St. Martin, NP-CNS

Title

Owner

Phone

(218) 209-1137

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Geropsych Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1700955366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SPRUCE GROVE LN NW",
            "address_2": "P.O. BOX 155",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566017746",
            "telephone_number": "218-209-1137",
            "fax_number": "218-333-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SPRUCE GROVE LN NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566017746",
            "telephone_number": "218-209-1137",
            "fax_number": "218-333-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEROPSYCH HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "ST. MARTIN",
        "authorized_official_first_name": "SAUNDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-209-1137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-CNS"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "MN",
            "license": "R1077485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC6885",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0199999",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13481",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014080500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND DEFINITY",
            "identifier": "13481",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geropsych",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kori Louise Geiger
• Lucas K Genereux, OD
• Sarah Gennes, RN
• Melissa Ann George-Humphrey, LICSW
• Geri C Wilimek LLC
• Maxwell Gessner, MD
• Gerald Walter Gettel, RPH
• Kynndyl Paige Giannonatti, OD
• Deborah L Gibbpotts, FNP-C
• Tamra J Gilbertson, PA-C

• Clinical Nurse Specialist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.