NPIMap

Organization Active NPI

Gerard Treatment Programs, LLC

Doing business as Gerard Academy

  • Child & Adolescent Psychiatry Physician
  • Austin, MN
National Provider Identifier
1750631115
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
GERARD TREATMENT PROGRAMS, LLC
Doing business as
Gerard Academy
Practice address
1111 28TH St NE
Austin, MN 55912-6410
Phone
(507) 433-1843
Fax
(507) 433-7868
NPI assigned
Sep 13, 2012
Last updated
Sep 13, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
GERARD TREATMENT PROGRAMS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Mr. Brenton E Henry
Title
Executive Director
Phone
(507) 433-1843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

1111 28TH St NE
Austin, MN 55912-6410

Mailing address

PO Box 715
Austin, MN 55912-0715
Phone (507) 433-1843

Other identifiers 1

IdentifierTypeStateIssuer
1972650893OtherMNNPI FOR RESIDENTIAL TREATMENT

Other names 1

  • Gerard Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gerard Treatment Programs3 organizations share this tax ID, including this one
Part of
Gerard Treatment Programs

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 28th St NE
Austin, MN 55912
Phone (507) 433-1843

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1750631115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559120715",
            "telephone_number": "507-433-1843",
            "fax_number": "507-433-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 28TH ST NE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559126410",
            "telephone_number": "507-433-1843",
            "fax_number": "507-433-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD TREATMENT PROGRAMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GERARD TREATMENT PROGRAMS LLC",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-433-1843",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR RESIDENTIAL TREATMENT",
            "identifier": "1972650893",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerard Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.