Center for Behavioral Health

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LP0134 Issued in MN

Legal business name

CENTER FOR BEHAVIORAL HEALTH

Practice address

2336 Lexington Ave N
Roseville, MN 55113-4343

Phone

(651) 261-6571

Fax

(651) 765-4307

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Walter Duffy, PH.D

Title

Executive Director

Phone

(651) 261-1571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1902015308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 LEXINGTON AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134343",
            "telephone_number": "651-261-6571",
            "fax_number": "651-765-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 LEXINGTON AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134343",
            "telephone_number": "651-261-6571",
            "fax_number": "651-765-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-261-1571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP0134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Scot Caskey, MD
• John M Caspers, MD
• Becky Beese Cassavant
• Mark Grady Catlin, MD
• Cedarwood Counseling, LLC
• Central Lakes Health Care Services LLC
• Alea Joy Chalmers, RD
• Patricia Chamberlain
• David T Chang, MD
• Ta Linda Chang, LAC

• Cognitive & Behavioral Psychologist in Roseville, MN
• Providers in Roseville, MN by specialty
• Cognitive & Behavioral Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.