Napoleon Petsoulis

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP6766 Issued in MN

Practice address

104 W Superior St # 200
Duluth, MN 55802-3000

Phone

(218) 727-7353

NPI assigned

Feb 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Circles, LLC

  • Community/Behavioral Health Agency
  • Duluth, MN
  • NPI 1760945745
  NPD (past)
• The Institute for Psychological & Sexual Health, Inc.

  • Psychologist
  • Duluth, MN
  • NPI 1588794515
  NPD (past)

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1861145450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W SUPERIOR ST # 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558023000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W SUPERIOR ST # 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558023000",
            "telephone_number": "218-727-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETSOULIS",
        "first_name": "NAPOLEON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "napoleon@duluthinstitute.com",
            "affiliation": "N",
            "endpointDescription": "NP Email",
            "address_1": "104 W Superior St # 200",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558023000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Petoskey, Inc.
• Michael Petry, M.D.
• Sarah Utz Petry, M.D.
• Christos Napoleon Petsoulis, M.A., L.P.
• Linda Petsoulis, M.A., L.P.
• Haeli Anne Pettis
• Durae June Pfeffer
• Paige Elizabeth Pfeifer
• Raelyn Mae Phelps
• Carrie Ann Phillips, LADC

• Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.