Brian E Stawarz LP LMFT LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP Issued in MN

Legal business name

BRIAN E STAWARZ LP LMFT LLC

Practice address

100 W 46TH St Ste 2C
Minneapolis, MN 55419-4950

Phone

(651) 247-0723

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Brian Edmund Stawarz, LP, LMFT

Title

Psychotherapist

Phone

(651) 247-0723

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1922376961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 LOWER COLONIAL DR",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551182712",
            "telephone_number": "651-554-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 46TH ST STE 2C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554194950",
            "telephone_number": "651-247-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN E STAWARZ LP LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "STAWARZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "651-247-0723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LP, LMFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305472100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.