NPIMap

Organization Active NPI

Asset Clinic

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1992126429
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1861 Issued in MN
Legal business name
ASSET CLINIC
Practice address
332 Minnesota St
Suite W1260
Saint Paul, MN 55101-1314
Phone
(651) 341-7688
Fax
(866) 307-8760
NPI assigned
Dec 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. Mark L Willenbring, M.D.
Title
President
Phone
(651) 348-7611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1861 MN Primary

Addresses

Primary practice location

332 Minnesota St
Suite W1260
Saint Paul, MN 55101-1314

Mailing address

332 Minnesota St
Suite W1260
Saint Paul, MN 55101-1314
Phone (651) 341-7688

Other names 1

  • Alltyr Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

332 Minnesota St
Ste W1260
Saint Paul, MN 55101
Phone (651) 341-7688

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1992126429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 MINNESOTA ST",
            "address_2": "SUITE W1260",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011314",
            "telephone_number": "651-341-7688",
            "fax_number": "866-307-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 MINNESOTA ST",
            "address_2": "SUITE W1260",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011314",
            "telephone_number": "651-341-7688",
            "fax_number": "866-307-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSET CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "WILLENBRING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-348-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "1861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alltyr Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.