Organization Active NPI

Tamber Health of Minnesota, P.C.

  • Prescribing (Medical) Psychologist
  • Wayzata, MN
National Provider Identifier
1740683515
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
47562 Issued in MN
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

Updated by the provider on Oct 7, 2014

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)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.