Organization Active NPI

Cornerstone Advocacy Service

  • Community/Behavioral Health Agency
  • Bloomington, MN
National Provider Identifier
1922295203
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
13053 Issued in MN
Legal business name
CORNERSTONE ADVOCACY SERVICE
Practice address
1000 East 80TH St
Bloomington, MN 55420
Phone
(952) 884-0376
Fax
(952) 884-2135
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
David Jay Mathews, PSYD, LICSW
Title
Program Manager
Phone
(952) 646-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 13053 MN Primary

Addresses

Primary practice location

1000 East 80TH St
Bloomington, MN 55420

Mailing address

1000 East 80TH St
Bloomington, MN 55420
Phone (952) 884-0376

National Provider Directory

National Provider Directory

Locations

1000 E 80th St
Bloomington, MN 55420
Phone (651) 431-8991

Practitioners & affiliated clinicians

Practitioners 3

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1922295203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55420",
            "telephone_number": "952-884-0376",
            "fax_number": "952-884-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55420",
            "telephone_number": "952-884-0376",
            "fax_number": "952-884-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE ADVOCACY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "952-646-6507",
        "authorized_official_credential": "PSYD, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "13053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.