City Psychiatric LLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

027457 Issued in MN

Legal business name

CITY PSYCHIATRIC LLC

Practice address

4570 W 77TH St
#315
Edina, MN 55435-5008

Phone

(612) 554-6794

NPI assigned

Apr 9, 2014

Organization subpart

No

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

Authorized official

Name

Nancy Kermath, M.D.

Title

Owner

Phone

(612) 554-6794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1871912600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 W 77TH ST",
            "address_2": "#315",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355008",
            "telephone_number": "612-554-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 W 77TH ST",
            "address_2": "#315",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355008",
            "telephone_number": "612-554-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PSYCHIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "KERMATH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-554-6794",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MN",
            "license": "027457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Taylor Christiano
• Stephanie Christman-Kolari, LICSW
• Shuneui Chun, MD
• Jerry Chung, M.D
• City of Edina
• Nicole Howard Claeson, LICSW
• Claire K Lowe Counseling LLC
• Kathleen Clare, D.C.
• Clarity Chiropractic PLLC
• Carrie Ellen Clark, D.C.

• Behavioral Neurology & Neuropsychiatry Physician in Edina, MN
• Providers in Edina, MN by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.