Active NPI
Decisionpoint Behavioral Health, Inc.
- Clinical Psychologist
- Rochester, MN
National Provider Identifier
1861737041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1315
- Legal business name
- DECISIONPOINT BEHAVIORAL HEALTH, INC.
- Practice address
- 206 S Broadway
Suite 411a
Rochester, MN 55904-6502 - Phone
- (507) 261-7080
- Fax
- (507) 424-4432
- NPI assigned
- Nov 29, 2012
- 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
- Dr. Donald Edward Williams, PHD, LP, ABPP
- Title
- Principal/President
- Phone
- (507) 261-7080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP1315 | MN | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | LP5520 | MN |
Addresses
Primary practice location
206 S Broadway
Suite 411a
Rochester, MN 55904-6502
Mailing address
206 S Broadway
Suite 411a
Rochester, MN 55904-6502
Phone (507) 261-7080
National Provider Directory
National Provider Directory- Tax ID family
- Decision Point Behavioral Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Rochester, MN
- NPI 1184743452
Locations
206 Broadway Ave S
Ste 411A
Rochester, MN 55904
Phone (507) 202-6364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354147200000",
"number": "1861737041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S BROADWAY",
"address_2": "SUITE 411A",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046502",
"telephone_number": "507-261-7080",
"fax_number": "507-424-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S BROADWAY",
"address_2": "SUITE 411A",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046502",
"telephone_number": "507-261-7080",
"fax_number": "507-424-4432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECISIONPOINT BEHAVIORAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-29",
"last_updated": "2012-11-29",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRINCIPAL/PRESIDENT",
"authorized_official_telephone_number": "507-261-7080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LP, ABPP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP1315",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MN",
"license": "LP5520",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.