Active NPI
James J Torkildson, ED.D.
- Clinical Psychologist
- Detroit Lakes, MN
National Provider Identifier
1760439624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP4518
- Practice address
- 900 Highway 34 E
Suite A104
Detroit Lakes, MN 56501-2643 - Phone
- (218) 331-8026
- Fax
- (218) 937-5657
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4518 | MN | Primary |
Addresses
Primary practice location
900 Highway 34 E
Suite A104
Detroit Lakes, MN 56501-2643
Mailing address
9241 280TH St S
Hawley, MN 56549-8985
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | MN | PREFERREDONE |
| PENDING | Other | MN | UNITED BEHAVIORAL HEALTH |
| PENDING | Other | MN | UCARE MINNESOTA |
| PENDING | Other | MN | HEALTHPARTNERS |
| PENDING | Other | MN | BLUE SHIELD OF MINNESOTA |
| PENDING | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1760439624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9241 280TH ST S",
"city": "HAWLEY",
"state": "MN",
"postal_code": "565498985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HIGHWAY 34 E",
"address_2": "SUITE A104",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565012643",
"telephone_number": "218-331-8026",
"fax_number": "218-937-5657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORKILDSON",
"first_name": "JAMES",
"middle_name": "J",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "PENDING",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MINNESOTA",
"identifier": "PENDING",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "PENDING",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MINNESOTA",
"identifier": "PENDING",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.