NPIMap

Organization Active NPI

Recovery Partners, PC at Maple Grove

  • Addiction (Substance Use Disorder) Psychologist
  • Maple Grove, MN
National Provider Identifier
1861851487
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
RECOVERY PARTNERS, PC AT MAPLE GROVE
Practice address
7001 E Fish Lake Rd
Suite 120
Maple Grove, MN 55311-2841
Phone
(651) 213-4286
Fax
(651) 213-4543
NPI assigned
Feb 11, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Dr. Marvin Seppala, MD
Title
Chief Medical Officer
Phone
(651) 213-4825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU Primary

Addresses

Primary practice location

7001 E Fish Lake Rd
Suite 120
Maple Grove, MN 55311-2841

Mailing address

7001 E Fish Lake Rd
Suite 120
Maple Grove, MN 55311-2841
Phone (651) 213-4286

National Provider Directory

National Provider Directory
Tax ID family
Recovery Partners PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

7001 E Fish Lake Rd
Ste 120
Maple Grove, MN 55311
Phone (763) 957-7689

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1861851487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 E FISH LAKE RD",
            "address_2": "SUITE 120",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112841",
            "telephone_number": "651-213-4286",
            "fax_number": "651-213-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 E FISH LAKE RD",
            "address_2": "SUITE 120",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112841",
            "telephone_number": "651-213-4286",
            "fax_number": "651-213-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY PARTNERS, PC AT MAPLE GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "SEPPALA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "651-213-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.