NPIMap

Recovery Partners, PC at Chaska

Organization Active NPI Addiction (Substance Use Disorder) Psychologist · Chaska, MN

NPI 1962861583 · NPPES record last updated Feb 11, 2016

Key facts

NPI
1962861583
Entity type
Organization (NPI type 2)
Primary specialty
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Legal business name
RECOVERY PARTNERS, PC AT CHASKA
Practice address
1107 Hazeltine Blvd
Suite 300
Chaska, MN 55318-1009
Phone
(651) 213-4286
Fax
(651) 213-4543
NPI assigned
Feb 11, 2016
Organization subpart
No

Authorized official

Name
Dr. Marvin Seppala, MD
Title
Chief Medical Officer
Phone
(651) 213-4825

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Recovery Partners PC (12 organizations share this tax ID)

Locations

1107 Hazeltine Blvd
Ste 300
Chaska, MN 55318
Phone (855) 775-7440

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TA0400X Yes

Addresses

Primary practice location

1107 Hazeltine Blvd
Suite 300
Chaska, MN 55318-1009

Mailing address

1107 Hazeltine Blvd
Suite 300
Chaska, MN 55318-1009
Phone (651) 213-4286

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2016.

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1962861583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 300",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "651-213-4286",
            "fax_number": "651-213-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 300",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "651-213-4286",
            "fax_number": "651-213-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY PARTNERS, PC AT CHASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "SEPPALA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "651-213-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

All providers in Chaska, MN · Addiction (Substance Use Disorder) Psychologist in Minnesota

Sources for this page

Verify at the official NPI Registry.