Active NPI
Access Healthcare Services, LLC
- Psychologist
- Minneapolis, MN
National Provider Identifier
1972057644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- ACCESS HEALTHCARE SERVICES, LLC
- Practice address
- 5861 Cedar Lake Rd S
Minneapolis, MN 55416-1653 - Phone
- (763) 541-1393
- NPI assigned
- Aug 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judy Goldetsky
- Title
- Ceo
- Phone
- (763) 545-6017
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
5861 Cedar Lake Rd S
Minneapolis, MN 55416-1653
Mailing address
7060 Imhoff Ave NW
Maple Lake, MN 55358-2431
Phone (763) 541-1393
National Provider Directory
National Provider DirectoryLocations
755 Florida Ave S
Ste D5
Minneapolis, MN 55426
Phone (763) 450-0699
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Minneapolis, MN
- NPI 1144692526
-
- Family Nurse Practitioner
- Maple Grove, MN
- NPI 1760477590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470787200000",
"number": "1972057644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7060 IMHOFF AVE NW",
"city": "MAPLE LAKE",
"state": "MN",
"postal_code": "553582431",
"telephone_number": "763-541-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5861 CEDAR LAKE RD S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554161653",
"telephone_number": "763-541-1393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-10",
"last_updated": "2016-08-10",
"status": "A",
"authorized_official_last_name": "GOLDETSKY",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "763-545-6017",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.