Organization Active NPI

The Family Development Center

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1811363252
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1978 Issued in MN
Legal business name
THE FAMILY DEVELOPMENT CENTER
Practice address
475 Cleveland Ave N
Suite 316
Saint Paul, MN 55104-5031
Phone
(651) 330-3434
Fax
(651) 330-3581
NPI assigned
Aug 20, 2015
Organization subpart
Yes
Parent organization
PREGNANCY AND POSTPARTUM SUPPORT MNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Alyssa Ann Wright, MA, LMFT
Title
Owner, Provider
Phone
(651) 330-3434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 1539 MN
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 1978 MN Primary

Addresses

Primary practice location

475 Cleveland Ave N
Suite 316
Saint Paul, MN 55104-5031

Mailing address

475 Cleveland Ave N
Suite 316
Saint Paul, MN 55104-5031
Phone (651) 330-3434

Other identifiers 1

IdentifierTypeStateIssuer
067948800MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
The Family Development Center2 organizations share this tax ID, including this one
Part of
Pregnancy and Postpartum Support Minnesota

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1811363252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N",
            "address_2": "SUITE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045031",
            "telephone_number": "651-330-3434",
            "fax_number": "651-330-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N",
            "address_2": "SUITE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045031",
            "telephone_number": "651-330-3434",
            "fax_number": "651-330-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY DEVELOPMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREGNANCY AND POSTPARTUM SUPPORT MN",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "651-330-3434",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1539",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067948800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.