NPIMap

Organization Active NPI

Pediatric Autism & Communication Therapy Institute, Inc.

  • Speech-Language Pathologist
  • Hopkins, MN
National Provider Identifier
1720138589
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC AUTISM & COMMUNICATION THERAPY INSTITUTE, INC.
Practice address
1014 Mainstreet
Hopkins, MN 55343-7534
Phone
(952) 224-0707
Fax
(952) 224-1612
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Ms. Dana Kimberly Weise-Brown, M.S., CCC-SLPNPI 1285759944
Title
Owner & Director
Phone
(952) 224-0707

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1014 Mainstreet
Hopkins, MN 55343-7534

Mailing address

1014 Mainstreet
Hopkins, MN 55343-7534
Phone (952) 224-0707

Other identifiers 1

IdentifierTypeStateIssuer
368261700MedicaidMN

Other names 1

  • PACT Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828002916 MN Part B Supplier - Clinic/Group Practice 9739628298 Receives reassigned benefits from 5 practitioners
Practice locations: Hopkins, MN

National Provider Directory

National Provider Directory

Locations

908 Mainstreet
Hopkins, MN 55343
Phone (952) 224-0707

1014 Mainstreet
Hopkins, MN 55343
Phone (952) 224-0707

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1720138589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437534",
            "telephone_number": "952-224-0707",
            "fax_number": "952-224-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437534",
            "telephone_number": "952-224-0707",
            "fax_number": "952-224-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AUTISM & COMMUNICATION THERAPY INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "WEISE-BROWN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER & DIRECTOR",
        "authorized_official_telephone_number": "952-224-0707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368261700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACT Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.