Janice L Ostrom, M.S., L.P.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LP 3197 Issued in MN

Practice address

4535 Washburn Ave N
Minneapolis, MN 55412-1055

Phone

(612) 522-3945

Fax

(612) 522-5124

NPI assigned

Oct 17, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brih Design LLC

  • Cognitive & Behavioral Psychologist
  • Minneapolis, MN
  • NPI 1114083540
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942380316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 WASHBURN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121055",
            "telephone_number": "612-522-3945",
            "fax_number": "612-522-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WASHBURN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121055",
            "telephone_number": "612-522-3945",
            "fax_number": "612-522-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROM",
        "first_name": "JANICE",
        "middle_name": "L",
        "credential": "M.S., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP 3197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CR/SHEILD PIN#",
            "identifier": "60D83OS",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCH. #",
            "identifier": "LP 3194",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Ostlie, MD
• Lauren Ostlund
• Stephan Anthony Ostlund
• Heather Kay Ostman, PTA
• Benjamin Tyler Ostrander, MD, MSE
• Jennifer Ostrom, LADC, LPCC
• Emily Ostrow, MS, RDN, LD
• Osvold Chiropractic Corporated
• Oswald Digestive Clinic LLC
• Alexa Carol Oswald

• Cognitive & Behavioral Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Cognitive & Behavioral Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.