Organization Active NPI

Safety Center Inc

  • Psychologist
  • Bloomington, MN
National Provider Identifier
1821294372
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SAFETY CENTER INC
Practice address
10800 Lyndale Ave S Ste 75
Bloomington, MN 55420-0010
Phone
(952) 884-4882
Fax
(952) 884-0284
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Cynthia Bloom, MA, LPCCNPI 1063129286
Title
Director of Counseling
Phone
(952) 884-4882

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10800 Lyndale Ave S Ste 75
Bloomington, MN 55420-0010

Mailing address

10800 Lyndale Ave S Ste 75
Bloomington, MN 55420-0010
Phone (952) 884-4882

Other identifiers 7

IdentifierTypeStateIssuer
136093OtherMNU-CARE
254M0SAOtherMNBCBS
289745OtherMNMMSI
8488139OtherMNMEDICA
427098300MedicaidMN
7174505OtherMNPREFERRED ONE
8440070OtherMNUBH

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1821294372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 75",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554200010",
            "telephone_number": "952-884-4882",
            "fax_number": "952-884-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 75",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554200010",
            "telephone_number": "952-884-4882",
            "fax_number": "952-884-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFETY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "952-884-4882",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE",
            "identifier": "136093",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "254M0SA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSI",
            "identifier": "289745",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8488139",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427098300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "7174505",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "8440070",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.