Dennis M. Brekke, LTD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DENNIS M. BREKKE, LTD.

Practice address

2021 E Hennepin Ave
Minneapolis, MN 55413-1896

Phone

(612) 991-1769

Fax

(612) 395-5585

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis M. Brekke, PH.D.

Title

President/Owner

Phone

(612) 991-1769

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1831295278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10331 108TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692638",
            "telephone_number": "612-991-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131896",
            "telephone_number": "612-991-1769",
            "fax_number": "612-395-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M. BREKKE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "BREKKE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "612-991-1769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546347500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01992BR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1H217BR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Kraker Denison, L.AC., DIPL.OM, M.OM
• Mary E Denne
• William Emmett Dennehy III, DO
• Michele Luann Dennert, REGISTERED NURSE
• Toby Dennert
• Brianna R Dennis
• Estella M Dennis, APRN, CNP
• Hannah Dennis, RD
• Jamie Dennis
• Kristen Murray Dennis, N.P.

• Clinical Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.