Organization Active NPI

Hawthorne Family Services

  • Psychologist
  • Golden Valley, MN
National Provider Identifier
1922134071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP1141 Issued in MN
Legal business name
HAWTHORNE FAMILY SERVICES
Practice address
80 Hampshire Ave N
Golden Valley, MN 55427-4923
Phone
(612) 889-4291
Fax
(763) 546-8189
NPI assigned
Feb 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Robert K Vucinovich, MS LPNPI 1700954005
Title
Owner Psychologist
Phone
(612) 889-4291

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP1141 MN Primary

Addresses

Primary practice location

80 Hampshire Ave N
Golden Valley, MN 55427-4923

Mailing address

80 Hampshire Ave N
Golden Valley, MN 55427-4923
Phone (612) 889-4291

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": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922134071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HAMPSHIRE AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274923",
            "telephone_number": "612-889-4291",
            "fax_number": "763-546-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAMPSHIRE AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274923",
            "telephone_number": "612-889-4291",
            "fax_number": "763-546-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VUCINOVICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-889-4291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, 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.