Organization Active NPI

Sandra Streitman PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • St Louis Park, MN
National Provider Identifier
1881035624
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
LP0666 Issued in MN
Legal business name
SANDRA STREITMAN PLLC
Practice address
9031 W 34TH St
St Louis Park, MN 55426-3703
Phone
(952) 935-3152
Fax
(195) 251-6595
NPI assigned
Jul 9, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Sandra Ruth Streitman, PHDNPI 1508988981
Title
Owner
Phone
(952) 935-3152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X LP0666 MN
Adult Mental Health Clinic/Center 261QM0850X LP0666 MN
Adolescent and Children Mental Health Clinic/Center 261QM0855X LP0666 MN Primary

Addresses

Primary practice location

9031 W 34TH St
St Louis Park, MN 55426-3703

Mailing address

9031 W 34TH St
St Louis Park, MN 55426-3703
Phone (952) 935-3152

Other identifiers 1

IdentifierTypeStateIssuer
0000377722MedicaidMN

National Provider Directory

National Provider Directory

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": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1881035624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 W 34TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263703",
            "telephone_number": "952-935-3152",
            "fax_number": "195-251-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 W 34TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263703",
            "telephone_number": "952-935-3152",
            "fax_number": "195-251-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA STREITMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "STREITMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-935-3152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MN",
            "license": "LP0666",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "LP0666",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "LP0666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000377722",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.