NPIMap

Organization Active NPI

MN Integrative Psychology and Psychiatry, Inc.

  • Psychiatry Physician
  • Minneapolis, MN
National Provider Identifier
1770728230
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MN INTEGRATIVE PSYCHOLOGY AND PSYCHIATRY, INC.
Practice address
1409 Willow St
Suite 400
Minneapolis, MN 55403-2269
Phone
(612) 872-1500
Fax
(612) 872-2205
NPI assigned
Dec 11, 2008
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Silvia Divinetz Romero, M.D.NPI 1427110683
Title
Ceo
Phone
(612) 872-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Health Psychologist 103TH0004X NU

Addresses

Primary practice location

1409 Willow St
Suite 400
Minneapolis, MN 55403-2269

Mailing address

1409 Willow St
Suite 400
Minneapolis, MN 55403-2269
Phone (612) 872-1500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1770728230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST",
            "address_2": "SUITE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032269",
            "telephone_number": "612-872-1500",
            "fax_number": "612-872-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST",
            "address_2": "SUITE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032269",
            "telephone_number": "612-872-1500",
            "fax_number": "612-872-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN INTEGRATIVE PSYCHOLOGY AND PSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "DIVINETZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-872-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 29, 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.

Verify at the official NPI Registry.