International Psychological and Social Service Agency

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INTERNATIONAL PSYCHOLOGICAL AND SOCIAL SERVICE AGENCY

Practice address

1625 Park Ave
Minneapolis, MN 55404-1634

Phone

(612) 296-3622

Fax

(612) 588-9420

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robin L. Wetzel, PH.D., LPNPI 1467660084

Title

Director

Phone

(612) 296-3622

Specialties & licenses 1

Addresses

Other names 1

• IPASSA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Lee Wetzel, PHD

  • Counselor
  • Minneapolis, MN
  • NPI 1467660084
  NPD (past) Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1962808790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041634",
            "telephone_number": "612-296-3622",
            "fax_number": "612-588-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041634",
            "telephone_number": "612-296-3622",
            "fax_number": "612-588-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL PSYCHOLOGICAL AND SOCIAL SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-296-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPASSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Intercommunity Home Health Care
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• Internal Medicine and Geriatrics Associates
• International Chiropractic Clinic, P.a.
• International Medicinal Centers of Minnesota
• Interpersonal Mental Health LLC
• Intrepid of Edina, Inc.
• Intrepid of the Twin Cities Inc
• Katie Inveen, LPN
• Inviting Homes LLC

• Multi-Specialty Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Multi-Specialty Clinic/Center in Minnesota

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