Psychotherapy Partners, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

LP3966 Issued in MN

Legal business name

PSYCHOTHERAPY PARTNERS, LLC

Practice address

3507 Lyndale Ave S
Minneapolis, MN 55408-4159

Phone

(612) 237-9238

Fax

(949) 258-0567

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Czeslaw J Hordynski

Title

Business Manger

Phone

(612) 237-9238

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Eiesland, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1134216344
  Medicare reassignment Care Compare group NPD
• Laurie Endris, LICSW

  • Clinical Social Worker
  • Bloomington, MN
  • NPI 1447923990
  Medicare reassignment Care Compare group NPD
• Denise M Tromblay

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1376520304
  NPD

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1790159879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084159",
            "telephone_number": "612-237-9238",
            "fax_number": "949-258-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084159",
            "telephone_number": "612-237-9238",
            "fax_number": "949-258-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "HORDYNSKI",
        "authorized_official_first_name": "CZESLAW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANGER",
        "authorized_official_telephone_number": "612-237-9238"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MN",
            "license": "LP3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Pryor, M.D.
• Derek Przybylski
• Elizabeth A Przybylski, WHCNP, CNM, APRN
• Lindsey R Przybylski, RN
• Nicolas Constandine Psihoyos
• PT Works, LLC
• Annaliese Ptacek
• Shelley L Pucci, LICSW
• Heidi Marie Pucel, FNP-C
• Sara Elizabeth Puchalla, PHARMD

• Exclusive Provider Organization in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Exclusive Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.