Developmental Diagnostics, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

DEVELOPMENTAL DIAGNOSTICS, LLC

Practice address

15 E Minnesota St Ste 105
Saint Joseph, MN 56374-4691

Phone

(320) 363-8055

Fax

(320) 363-8056

NPI assigned

Feb 27, 2020

Last updated

Feb 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Holly Hieb Clausen, PH.D.NPI 1417914318

Title

Owner

Phone

(320) 363-8055

Specialties & licenses 3

Addresses

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.

• Holly H Clausen, PHD, LP

  • Clinical Neuropsychologist
  • Saint Joseph, MN
  • NPI 1417914318
  NPD Authorized official

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1831723808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E MINNESOTA ST STE 105",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563744691",
            "telephone_number": "320-363-8055",
            "fax_number": "320-363-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E MINNESOTA ST STE 105",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563744691",
            "telephone_number": "320-363-8055",
            "fax_number": "320-363-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "CLAUSEN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "HIEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-363-8055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda J Dircks, NP
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• Dr Joseph R Styles /Curtis F Cotton PA
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• Essilor Laboratories of America, Inc (Essilor Coating Center)

• Adolescent and Children Mental Health Clinic/Center in Saint Joseph, MN
• Providers in Saint Joseph, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.