Organization Active NPI

Groundwork Psychiatry, LLC

  • Psychiatry Physician
  • Minneapolis, MN
National Provider Identifier
1801312418
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
61077 Issued in MN
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

Updated by the provider on Aug 15, 2017

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

Authorized official

Name
Dr. Frederick William Houts, MDNPI 1518152172
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)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084F0202X 61077 MN
Forensic Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084F0202X A116329 CA
Forensic Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084F0202X 7312 AK
Forensic Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084F0202X D0070374 MD
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 61077 MN Primary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D0070374 MD
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A116329 CA
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 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.

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.

Verify at the official NPI Registry.