The Family Development Center, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1539 Issued in MN

Legal business name

THE FAMILY DEVELOPMENT CENTER, LLC

Practice address

475 Cleveland Ave N
Suite 316
Saint Paul, MN 55104-5031

Phone

(612) 799-0862

NPI assigned

Dec 4, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Alyssa Wright, MA, LMFT

Title

Co-Owner

Phone

(612) 799-0862

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

The Family Development Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Family Development Center

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1811363252
  NPD tax ID

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1780015511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N",
            "address_2": "SUITE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N",
            "address_2": "SUITE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045031",
            "telephone_number": "612-799-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY DEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-799-0862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1539",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1978",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067948800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Encore at Mahtomedi
• The Evangelical Lutheran Good Samaritan Society
• The Experience of Neshama
• The Family Development Center
• The Family Development Center Foundation
• The Fashion Eyes Company
• The Filial Piety Center
• The Good Movement Pelvic Health & Wellness
• The Healing House of Saint Paul
• The Healing Place LLC

• Marriage & Family Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.