Psa Housing & Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PSA HOUSING & ASSISTED LIVING

Practice address

220 East Ave
Mahtomedi, MN 55115-2289

Phone

(651) 264-3200

NPI assigned

Apr 11, 2014

Last updated

Aug 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Tranby

Title

Payer Relations Director

Phone

(651) 631-6102

Specialties & licenses 1

Addresses

Other names 1

• ST ANDREWS VILLAGE Other name

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1811316326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EAST AVE",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551152289",
            "telephone_number": "651-264-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSA HOUSING & ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "TRANBY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PAYER RELATIONS DIRECTOR",
        "authorized_official_telephone_number": "651-631-6102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST ANDREWS VILLAGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Ann Pehrson
• Bailey Catherine Peterson, MA, LMFT
• Kayla Pilarski
• Jean Marie Plattner, LADC
• Nicole Poirier
• Miriam Beth Rosenberg, LCSW
• Jenilee Schaekel, RD, LD
• Lorie Ann Schleck, PT
• Julie Schwalbach
• Nancy Skilbred

• Assisted Living Facility in Mahtomedi, MN
• Providers in Mahtomedi, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.