Active NPI
Concepcion Psychological Services
- Clinical Psychologist
- Oakdale, MN
National Provider Identifier
1902942667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP2958
- Legal business name
- CONCEPCION PSYCHOLOGICAL SERVICES
- Practice address
- 6230 10TH St N
Suite 310-B
Oakdale, MN 55128-6158 - Phone
- (651) 714-2000
- Fax
- (651) 714-4400
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Janette Faye Concepcion, PH.D.
- Title
- Owner
- Phone
- (651) 714-2000
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP2958 | MN | Primary |
Addresses
Primary practice location
6230 10TH St N
Suite 310-B
Oakdale, MN 55128-6158
Mailing address
6230 10TH St N
Suite 310-B
Oakdale, MN 55128-6158
Phone (651) 714-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103577 | Other | MN | HEALTH PARTNERS MN |
| 453T3CO | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 990991023407 | Other | MN | PREFERRED ONE MN |
| 6190337 | Other | MN | UNITED BEHAVIORAL HLTH-MN |
National Provider Directory
National Provider DirectoryLocations
6230 10th St N
Ste 310B
Oakdale, MN 55128
Phone (651) 209-9282
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Oakdale, MN
- NPI 1851492052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902942667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6230 10TH ST N",
"address_2": "SUITE 310-B",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286158",
"telephone_number": "651-714-2000",
"fax_number": "651-714-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6230 10TH ST N",
"address_2": "SUITE 310-B",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286158",
"telephone_number": "651-714-2000",
"fax_number": "651-714-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCEPCION PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CONCEPCION",
"authorized_official_first_name": "JANETTE",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-714-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP2958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS MN",
"identifier": "103577",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "453T3CO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE MN",
"identifier": "990991023407",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HLTH-MN",
"identifier": "6190337",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.