NPIMap

Organization Active NPI

Grove Psychotherapy, Inc.

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1942391529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GROVE PSYCHOTHERAPY, INC.
Practice address
219 Main St SE
Ste 400
Minneapolis, MN 55414-2124
Phone
(612) 379-2640
Fax
(612) 379-2820
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda C. Nelson, MA, LPNPI 1235141938
Title
Co-Owner
Phone
(612) 379-2640

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

219 Main St SE
Ste 400
Minneapolis, MN 55414-2124

Mailing address

219 Main St SE
Ste 400
Minneapolis, MN 55414-2124
Phone (612) 379-2640

National Provider Directory

National Provider Directory

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942391529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MAIN ST SE",
            "address_2": "STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142124",
            "telephone_number": "612-379-2640",
            "fax_number": "612-379-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MAIN ST SE",
            "address_2": "STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142124",
            "telephone_number": "612-379-2640",
            "fax_number": "612-379-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-379-2640",
        "authorized_official_credential": "MA, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • 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.