Organization Active NPI

Alliant Behavioral Pediatrics

  • Psychologist
  • Burnsville, MN
National Provider Identifier
1932486057
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5121 Issued in MN
Legal business name
ALLIANT BEHAVIORAL PEDIATRICS
Practice address
201 W Travelers TRL
Suite 212
Burnsville, MN 55337-2550
Phone
(651) 295-7440
Fax
(612) 437-4499
NPI assigned
Nov 3, 2011
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Jami J Hughes, PSY.D, BCBA-NPI 1104054329
Title
Executive Director
Phone
(651) 295-7440

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5121 MN Primary
Behavior Analyst 103K00000X 1-12-12557 FL

Addresses

Primary practice location

201 W Travelers TRL
Suite 212
Burnsville, MN 55337-2550

Mailing address

201 W Travelers TRL
Suite 212
Burnsville, MN 55337-2550
Phone (651) 295-7440

Other identifiers 1

IdentifierTypeStateIssuer
0BI29HUOtherMNBCBS-MN

National Provider Directory

National Provider Directory

Locations

201 W Travelers Trl
Ste 212
Burnsville, MN 55337
Phone (651) 295-7440

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": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1932486057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W TRAVELERS TRL",
            "address_2": "SUITE 212",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372550",
            "telephone_number": "651-295-7440",
            "fax_number": "612-437-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W TRAVELERS TRL",
            "address_2": "SUITE 212",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372550",
            "telephone_number": "651-295-7440",
            "fax_number": "612-437-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANT BEHAVIORAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-295-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, BCBA-"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "5121",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-12-12557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MN",
            "identifier": "0BI29HU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.