St Paul Como Community Unit

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ST PAUL COMO COMMUNITY UNIT

Practice address

690 Como Ave
Saint Paul, MN 55103-1436

Phone

(651) 558-2227

NPI assigned

Nov 29, 2007

Organization subpart

Yes

Parent organization

STATE OF MINNESOTAAs reported in NPPES

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

Authorized official

Name

Victoria O Alabi

Title

Human Services Manager

Phone

(651) 478-8002

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Minnesota Correctional Facility -Togo

Practitioners 1

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

• Damir S. Utrzan, PH.D., LMFT, DAAETS

  • Marriage & Family Therapist
  • Mendota Heights, MN
  • NPI 1548708464
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1740462969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979",
            "telephone_number": "651-431-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031436",
            "telephone_number": "651-558-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL COMO COMMUNITY UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MINNESOTA",
        "enumeration_date": "2007-11-29",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "ALABI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "HUMAN SERVICES MANAGER",
        "authorized_official_telephone_number": "651-478-8002"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756188100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Joseph St Cyr, D.O.
• Emily St Martin, PA-C
• St Paul Allergy & Asthma Clinic P.a.
• St Paul Cardiology PA
• St Paul Clinic LLC
• St Paul Dental Center LLC
• St Paul Eye Clinic PA
• St Paul Eye Clinic PA
• St Paul Family Dentistry
• St Paul Internal Medicine

• Mental Illness Community Based Residential Treatment Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.