Active NPI
Northern Integrated Health, Inc.
- Addiction Psychiatry Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 35122
- Legal business name
- NORTHERN INTEGRATED HEALTH, INC.
- Practice address
- 6200 Excelsior Blvd
Suite 202
St Louis Park, MN 55416-2730 - Phone
- (952) 548-9340
- NPI assigned
- Mar 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lois Cochrane Schlutter
- Title
- Psychologist
- Phone
- (952) 548-9340
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 35122 | MN | Primary |
| General Practice Physician | 208D00000X | 24280 | MN |
Addresses
Primary practice location
6200 Excelsior Blvd
Suite 202
St Louis Park, MN 55416-2730
Mailing address
6200 Excelsior Blvd
Suite 202
St Louis Park, MN 55416-2730
Phone (952) 548-9340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063225200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 4
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Adult Mental Health Clinic/Center
- Minnetonka, MN
- NPI 1588948723
-
- Addiction (Substance Use Disorder) Counselor
- Delano, MN
- NPI 1114220811
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Minnetonka, MN
- NPI 1477821791
-
- Addiction (Substance Use Disorder) Counselor
- Buffalo, MN
- NPI 1801190327
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- St Louis Park, MN
- NPI 1396839684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269475200000",
"number": "1831413442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 EXCELSIOR BLVD",
"address_2": "SUITE 202",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162730",
"telephone_number": "952-548-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 EXCELSIOR BLVD",
"address_2": "SUITE 202",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162730",
"telephone_number": "952-548-9340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN INTEGRATED HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A",
"authorized_official_last_name": "SCHLUTTER",
"authorized_official_first_name": "LOIS",
"authorized_official_middle_name": "COCHRANE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "952-548-9340",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MN",
"license": "35122",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "MN",
"license": "24280",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063225200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
- Sarah June Nordberg, AU.D.
- Leonard Nordstrom Jr.
- Stacey Norgren, M.S., CCC-SLP
- Terry Lynn Norman, MA, LAMFT
- Grace Ann Norris
- Northern Skies Psychotherapy and Nutrition Counseling
- Northern Star Oral and Maxillofacial Surgery PLLC
- Northland Dental Partners, PLLC
- Northland Dental Partners, PLLC
- Monica Norwick
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.