Circle of Cranes Psychology Center,L.L.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1876 Issued in MN

Legal business name

CIRCLE OF CRANES PSYCHOLOGY CENTER,L.L.C.

Practice address

315 Georgia Ave N
Golden Valley, MN 55427-4978

Phone

(763) 546-1662

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Elaine R. WynneNPI 1548321680

Title

Owner Licensed Psychologist

Phone

(763) 546-1662

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elaine R. Wynne

  • Psychologist
  • Golden Valley, MN
  • NPI 1548321680
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1851452908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27314",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554270314",
            "telephone_number": "763-546-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GEORGIA AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274978",
            "telephone_number": "763-546-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF CRANES PSYCHOLOGY CENTER,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-546-1662"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.