Organization Active NPI

Concepcion Psychological Services

  • Clinical Psychologist
  • Oakdale, MN
National Provider Identifier
1902942667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP2958 Issued in MN
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

Updated by the provider on Aug 22, 2020

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.NPI 1851492052
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
103577OtherMNHEALTH PARTNERS MN
453T3COOtherMNBLUE CROSS BLUE SHIELD MN
990991023407OtherMNPREFERRED ONE MN
6190337OtherMNUNITED BEHAVIORAL HLTH-MN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.