Organization Active NPI

Svetlana Simovic, M.D.

  • Psychiatry Physician
  • Minneapolis, MN
National Provider Identifier
1760894372
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SVETLANA SIMOVIC, M.D.
Practice address
825 Nicollet Mall
Suite # 614
Minneapolis, MN 55402-2606
Phone
(612) 455-3433
Fax
(612) 888-9311
NPI assigned
May 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Authorized official

Name
Dr. Svetlana Simovic, M.D.
Title
Psychiatrist/Self Employed
Phone
(507) 269-0964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

825 Nicollet Mall
Suite # 614
Minneapolis, MN 55402-2606

Mailing address

15 Crocus PL
Saint Paul, MN 55102-2810
Phone (507) 269-0964

National Provider Directory

National Provider Directory

Locations

825 Nicollet Mall
Ste 614
Minneapolis, MN 55402
Phone (612) 455-3433

NPI Registry JSON

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1760894372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CROCUS PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022810",
            "telephone_number": "507-269-0964",
            "fax_number": "612-888-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE # 614",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-455-3433",
            "fax_number": "612-888-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVETLANA SIMOVIC, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "SIMOVIC",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PSYCHIATRIST/SELF EMPLOYED",
        "authorized_official_telephone_number": "507-269-0964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.