Developing Minds Psychology, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

LP6081 Issued in MN

Legal business name

DEVELOPING MINDS PSYCHOLOGY, PLLC

Practice address

3340 Republic Ave
St Louis Park, MN 55426-4154

Phone

(517) 977-6571

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Watson, PHD

Title

Licensed Psychologist

Phone

(612) 758-0583

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1780177337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE STE 120",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264189",
            "telephone_number": "612-758-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264154",
            "telephone_number": "517-977-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPING MINDS PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-758-0583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "LP6081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Derubeis, MS, LPCC
• Reshma Desai, DO
• Luke Desilet, DO
• Jordan Rae Dettmann
• Jennifer A Deutz, P.T.
• Jane Catalina Dever, M.D.
• Vernon T Devine, PH.D.
• Alexander Dewar, PA-C
• Alan H. Diamond, O.D.
• Mackenzie Rose Diaz

• Clinic/Center in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.