Organization Active NPI

Decisionpoint Behavioral Health, Inc.

  • Clinical Psychologist
  • Rochester, MN
National Provider Identifier
1861737041
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1315 Issued in MN
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

Updated by the provider on Nov 29, 2012

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LP1315 MN Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.