Joy Petermann, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

14968 Issued in MN

Legal business name

JOY PETERMANN, LLC

Practice address

5353 Gamble Dr Ste 110
St Louis Park, MN 55416-1539

Phone

(763) 432-4072

Fax

(763) 432-4073

NPI assigned

Dec 2, 2010

Last updated

Dec 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joy M Petermann, LICSWNPI 1366491466

Title

Owner/Clinical Therapist

Phone

(763) 432-4072

Specialties & licenses 1

Addresses

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.

• Joy Marie Petermann, MSW LICSW

  • Clinical Social Worker
  • St Louis Park, MN
  • NPI 1366491466
  Authorized official Same address or phone

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1942502570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 GAMBLE DR STE 110",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161539",
            "telephone_number": "763-432-4072",
            "fax_number": "763-432-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 GAMBLE DR STE 110",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161539",
            "telephone_number": "763-432-4072",
            "fax_number": "763-432-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY PETERMANN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "PETERMANN",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "763-432-4072",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "14968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice M Jordan
• Krista Jordan, PA-C
• Julie Ann Jorgenson, P.T.
• Jon W Joseph, MD
• Kenneth E Joslyn, M.D.
• Dau-Shen Ju, PH.D.
• Marlea A Judd, CRNA
• Callie Judnick
• Jennifer Jue, MD
• Jerry L Juhl, PHYSICAL THERAPY

• Community/Behavioral Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.