SBTV LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SBTV LLC

Doing business as

SBTV LLC

Practice address

6121 Excelsior Blvd Ste 101a
St Louis Park, MN 55416-2752

Phone

(612) 440-8742

Fax

(716) 531-9060

NPI assigned

Mar 20, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Natalie M Marr, PSY.D., LPNPI 1265768337

Title

Owner

Phone

(612) 440-8742

Specialties & licenses 1

Addresses

Other names 1

• SBTV LLC 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, and the practitioner matching its NPPES authorized official.

• Natalie Marie Marr, L.P.

  • Clinical Psychologist
  • St Louis Park, MN
  • NPI 1265768337
  Authorized official Same address or phone

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1992265615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490171",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554490171",
            "telephone_number": "612-440-8742",
            "fax_number": "716-531-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 EXCELSIOR BLVD STE 101A",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162752",
            "telephone_number": "612-440-8742",
            "fax_number": "716-531-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBTV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-440-8742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SBTV LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy L Sauter, RD
• Neil J Sauter, DPT
• Jebediah Joel Sawyer, MA
• Martha Kristin Sawyer, OTR/L
• Kharmen Saysirisanh
• Kelly Ann Yaeger Scalzo
• Erin Marie Scanlon
• Natalie Scanlon
• Thomas M Scaramuzza, OD
• Richard J Scarlato, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.