Crown Imperial Press, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LP 1426 Issued in MN

Legal business name

CROWN IMPERIAL PRESS, LLC

Doing business as

Steven R. Wiese, M.S., M.Div, Licensed Psychologist

Practice address

1935 County Road B2 W
Suite #102
Saint Paul, MN 55113-2729

Phone

(651) 785-3920

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Steven Roger Wiese, M.S., M.DIV., LPNPI 1194941682

Title

Director

Phone

(651) 785-3920

Specialties & licenses 1

Addresses

Other names 1

• Steven R. Wiese, M.S., M.Div, Licensed Psychologist Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Roger Wiese, L.P.

  • Psychologist
  • Roseville, MN
  • NPI 1194941682
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1821422544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21211 IMPERIAL AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550259547",
            "telephone_number": "651-785-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W",
            "address_2": "SUITE #102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551132729",
            "telephone_number": "651-785-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN IMPERIAL PRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-785-3920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., M.DIV., LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "LP 1426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven R. Wiese, M.S., M.Div, Licensed Psychologist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sigourney Cross
• Jerilynn H Crowder
• Catherine A Crowley, CNM
• Cora Crowley, RN
• Sydney Crowley, PA-C
• Crown Medical Supply Inc
• Scott C Cruse, LICSW
• Charles Edward Crutchfield, MD
• Chelsea Dennise Cruz, RN
• Selene Cruz

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.