St. Cloud TMS LLC

Primary specialty

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

Legal business name

ST. CLOUD TMS LLC

Practice address

925 E Superior St Ste 106
Duluth, MN 55802-2253

Phone

(218) 481-0220

Fax

(218) 481-0325

NPI assigned

Oct 30, 2020

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ERIC JOHNSONAs reported in NPPES

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

Authorized official

Name

Eric Austin Johnson, MDNPI 1750464640

Title

Owner

Phone

(218) 481-0220

Specialties & licenses 1

Addresses

Tax ID family

Duluthtms LLC2 organizations share this tax ID, including this one

Part of

Duluthtms LLC

Other organizations with this tax ID 1

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

• Duluthtms, LLC

  • Psychiatry Physician
  • Duluth, MN
  • NPI 1356876163
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Austin Johnson, M.D.

  • Psychiatry Physician
  • Duluth, MN
  • NPI 1750464640
  NPD Authorized official

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1821698671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST STE 106",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022253",
            "telephone_number": "218-481-0220",
            "fax_number": "218-481-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST STE 106",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022253",
            "telephone_number": "218-481-0220",
            "fax_number": "218-481-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLOUD TMS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERIC JOHNSON",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-481-0220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Louis County PHHS Dept
• St Marys Medical Center (Essentia Health St Marys Medical Center (Ortho Bundle))
• St Marys Medical Center (Essentia Health St Marys Medical Center)
• Emma St. Andrew
• St. Ann's Home
• St. Francis Health Services of Morris, Inc (Home Care Service Options - Duluth)
• Jody Ann St. George Tucker, MT-BC, MA
• Chad James St. Germain, M.D.
• St. Louis County Public Health
• St. Luke's Hospital

• Mental Health Clinic/Center (Including Community Mental Health Center) in Duluth, MN
• Providers in Duluth, 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 Oct 30, 2020; 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.