Minnesota Mental Health Clinics

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13805 Issued in MN

Legal business name

MINNESOTA MENTAL HEALTH CLINICS

Practice address

3450 Oleary LN
Eagan, MN 55123-2340

Phone

(651) 454-0114

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Patrick DoyleNPI 1700978061

Title

Clinical Director

Phone

(651) 454-0114

Specialties & licenses 1

Addresses

Tax ID family

Eagan Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Eagan Counseling Clinic

  • Clinical Psychologist
  • Eagan, MN
  • NPI 1144311184
  NPD tax ID
• Minnesota Mental Health Clinics

  • Community/Behavioral Health Agency
  • Eagan, MN
  • NPI 1053715805
  NPD tax ID

Locations

Practitioners 1

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

• Patrick Doyle, PH.D., L.P.

  • Clinical Psychologist
  • Eagan, MN
  • NPI 1700978061
  NPD (past) Authorized official

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1992025639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OLEARY LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232340",
            "telephone_number": "651-365-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 OLEARY LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232340",
            "telephone_number": "651-454-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA MENTAL HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "651-454-0114"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "13805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Behavioral Specialists
• Minnesota Center for Obesity, Metabolism & Endocrinology, PA
• Minnesota Dental Professionals, P.C.
• Minnesota Independent Cooperative
• Minnesota Mental Health Clinics
• Morgan Minnick
• Jacob Thomas Minnig, MA, LPCC, LADC
• Minuteclinic Diagnostic of Minnesota, P.a.
• Minuteclinic Diagnostic of Minnesota, P.a.
• Minuteclinic Diagnostic of Minnesota, P.a.

• Mental Health Counselor in Eagan, MN
• Providers in Eagan, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.