Tim Jandro Psychological Services PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

TIM JANDRO PSYCHOLOGICAL SERVICES PLLC

Practice address

14525 Highway 7 Ste 310
Minnetonka, MN 55345-3734

Phone

(612) 508-9060

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tim D Jandro, PSYD, LP

Title

Partner/Licensed Psychologist

Phone

(612) 508-9060

Specialties & licenses 1

Addresses

Other names 1

• Peak Performance Twin Cities Doing business as

Locations

Practitioners 1

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

• Timothy Jandro, LP

  • Psychologist
  • Minneapolis, MN
  • NPI 1255976437
  NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1740901032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14525 HIGHWAY 7 STE 310",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453734",
            "telephone_number": "612-508-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 HIGHWAY 7 STE 310",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453734",
            "telephone_number": "612-508-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM JANDRO PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "JANDRO",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-508-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Performance Twin Cities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thrive Point Wellness Inc
• Susan Craven Thrower, FNP
• Jayme L Tichauer, LICSW
• Michelle Ann Tierney, OTR/L
• Tikvah Counseling LLC
• Teresa Denise Timmons, ARNP
• Rebekah Victoria Tinsley
• Breanna Young Tivy-Debauche, D.C.
• Krestine K Tiziani, DMD
• Katie Jean Toft, M.D.

• Counseling Psychologist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.