Active NPI
Groundwork Psychiatry, LLC
- Psychiatry Physician
- Minneapolis, MN
National Provider Identifier
1801312418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 61077
- Legal business name
- GROUNDWORK PSYCHIATRY, LLC
- Practice address
- 2419 Nicollet Ave
Minneapolis, MN 55404-3450 - Phone
- (612) 871-3320
- NPI assigned
- Aug 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederick William Houts, MD
- Title
- Sole Owner
- Phone
- (612) 808-9375
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 61077 | MN | |
| Forensic Psychiatry Physician | 2084F0202X | A116329 | CA | |
| Forensic Psychiatry Physician | 2084F0202X | 7312 | AK | |
| Forensic Psychiatry Physician | 2084F0202X | D0070374 | MD | |
| Psychiatry Physician | 2084P0800X | 61077 | MN | Primary |
| Psychiatry Physician | 2084P0800X | D0070374 | MD | |
| Psychiatry Physician | 2084P0800X | A116329 | CA | |
| Psychiatry Physician | 2084P0800X | 7312 | AK |
Addresses
Primary practice location
2419 Nicollet Ave
Minneapolis, MN 55404-3450
Mailing address
3109 W 50TH St # 317
Minneapolis, MN 55410-2102
Phone (612) 808-9375
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Faribault, MN
- NPI 1518152172
Forensic Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502755200000",
"number": "1801312418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 W 50TH ST # 317",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554102102",
"telephone_number": "612-808-9375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043450",
"telephone_number": "612-871-3320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROUNDWORK PSYCHIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-15",
"last_updated": "2017-08-15",
"status": "A",
"authorized_official_last_name": "HOUTS",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "612-808-9375",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "MN",
"license": "61077",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "A116329",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "AK",
"license": "7312",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "MD",
"license": "D0070374",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "61077",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0070374",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A116329",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "7312",
"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 Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.