NPIMap

Organization Active NPI

St. Cloud State University

  • Behavior Analyst
  • Saint Cloud, MN
National Provider Identifier
1902590805
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ST. CLOUD STATE UNIVERSITY
Practice address
151 8TH St S RM 115
Saint Cloud, MN 56301-4423
Phone
(320) 308-4238
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MINNESOTA STATE COLLEGES AND UNIVERSITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Dr. Shonda Craft
Title
Dean, College of Health & Wellness
Phone
(320) 308-4732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

151 8TH St S RM 115
Saint Cloud, MN 56301-4423

Mailing address

720 4TH Ave S
Saint Cloud, MN 56301-4442

Other names 1

  • Offerdahl Autism Discovery Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Hendrix Health Center Pharmacy27 organizations share this tax ID, including this one
Part of
Hendrix Health Center Pharmacy

Other organizations with this tax ID 26

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

View all 26

Locations

151 8th St S
Rm 115
Saint Cloud, MN 56301
Phone (320) 308-3830

Practitioners & affiliated clinicians

Practitioners 8

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": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1902590805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 4TH AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 8TH ST S RM 115",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014423",
            "telephone_number": "320-308-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLOUD STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNESOTA STATE COLLEGES AND UNIVERSITIES",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "DEAN, COLLEGE OF HEALTH & WELLNESS",
        "authorized_official_telephone_number": "320-308-4732",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Offerdahl Autism Discovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.