Joycene M Walstrom and Associates Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

300206 Issued in MN

Legal business name

JOYCENE M WALSTROM AND ASSOCIATES INC

Practice address

7671 Central Ave NE
Fridley, MN 55432-3575

Phone

(763) 786-8057

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joycene M Ryan, LADC

Title

President

Phone

(763) 786-8067

Specialties & licenses 1

Addresses

Locations

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.

• Vonda Malone Tiede, MA MFT

  • Marriage & Family Therapist
  • Fridley, MN
  • NPI 1447793062
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922166966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 CENTRAL AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323575",
            "telephone_number": "763-786-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 CENTRAL AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323575",
            "telephone_number": "763-786-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCENE M WALSTROM AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JOYCENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-786-8067",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "300206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Michael Johnson, DO
• Megan Johnson, MA, LPCC
• Samantha Julianne Johnson, NP
• William S Johnson
• Journeys: a Pathway /to Healing, LLC
• Juihsien Kao, PHD, LP PLLC
• Laura Violet July, MD
• Forest William Juvland
• Jana Lynn Kaess, MPT
• Jamie Nash Kain, PA-C

• Clinic/Center in Fridley, MN
• Providers in Fridley, MN by specialty
• Clinic/Center in Minnesota

• 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.