Active NPI
Tamber Health of Minnesota, P.C.
- Prescribing (Medical) Psychologist
- Wayzata, MN
National Provider Identifier
1740683515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 47562
- Legal business name
- TAMBER HEALTH OF MINNESOTA, P.C.
- Doing business as
- Tamber
- Practice address
- 2657 Woodbridge Rd
Wayzata, MN 55391-9406 - Phone
- (855) 482-6237
- Fax
- (952) 405-9163
- NPI assigned
- Oct 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Ray Rundell, M.D.
- Title
- Medical Director
- Phone
- (855) 482-6237
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | 47562 | MN | Primary |
Addresses
Primary practice location
2657 Woodbridge Rd
Wayzata, MN 55391-9406
Mailing address
PO Box 178
Crystal Bay, MN 55323-0178
Phone (855) 482-6237
Other names 1
- Tamber
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412640000000",
"number": "1740683515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 178",
"city": "CRYSTAL BAY",
"state": "MN",
"postal_code": "553230178",
"telephone_number": "855-482-6237",
"fax_number": "952-405-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2657 WOODBRIDGE RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553919406",
"telephone_number": "855-482-6237",
"fax_number": "952-405-9163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMBER HEALTH OF MINNESOTA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A",
"authorized_official_last_name": "RUNDELL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "855-482-6237",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": "MN",
"license": "47562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tamber",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.