James Avenue Psychological Consultation, P.A.
LBN: James Avenue Psychological Consultation, P.A.
James Avenue Psychological Consultation, P.A. is an health care organization with primary practice located at 3005 James Ave S , Minneapolis MN 55408-2533. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
James Avenue Psychological Consultation, P.A. can be contacted via phone (612) 227-2829, or through Blair, Melissa Missy via phone (612) 227-2829.
Contact Information
Primary practice address
3005 James Ave S
Minneapolis MN 55408-2533
Phone: (612) 227-2829
Fax: (612) 377-7501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | LP3550 | Minnesota |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1407924780 |
|---|---|
| LBN Legal business name | James Avenue Psychological Consultation, P.A. |
| DBA Doing business as | |
| Authorized official | Blair, Melissa Missy PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2006 |
| Last updated | Dec 12th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407924780 | NPPES |
| Minnesota | Other | 6173818 | MEDICA OR UBH |
| Minnesota | Other | 141774 | MEDICA OR UBH |
| Minnesota | Other | 20258-11 | MEDICA OR UBH |
| Minnesota | Other | 117T6NA OR 114T7NA | MEDICA OR UBH |
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