James Avenue Psychological Consultation, P.A. in Crystal - Mental Health (including Community Mental Health Center)
James Avenue Psychological Consultation, P.A. - NPI 1407924780
James Avenue Psychological Consultation, P.A. is a Mental Health (including Community Mental Health Center) in Crystal, Minnesota. James Avenue Psychological Consultation, P.A. practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for James Avenue Psychological Consultation, P.A. is 1407924780. The last update date is 2022-12-12.
James Avenue Psychological Consultation, P.A.'s current location address is 3220 Hampshire Ave N, Crystal, Minnesota. You can contact this provider via phone number 6122272829 and fax number 6123777501. The mailing address for James Avenue Psychological Consultation, P.A. is 3220 Hampshire Ave N, Crystal, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James Avenue Psychological Consultation, P.A. |
|---|---|
| Address | 3220 Hampshire Ave N, Crystal, Minnesota |
| Phone Number | 6122272829 |
| Fax Number | 6123777501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blair Missy Melissa |
| Credentials | PHD |
| Telephone Number | 6122272829 |
NPI Number Detail
| NPI Number | 1407924780 |
|---|---|
| Provider Enumeration Date | 2006-12-02 |
| Last Updated Date | 2022-12-12 |
Provider Mailing Address Detail
| Address | 3220 Hampshire Ave N |
|---|---|
| City | Crystal |
| State | Minnesota (MN) |
| Post Code | 554272249 |
| Phone Number | 6122272829 |
| Fax Number | 6123777501 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6173818 | MN | MEDICA OR UBH | |
| 141774 | MN | UCARE | |
| 20258-11 | MN | BHP | |
| 117T6NA OR 114T | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James Avenue Psychological Consultation, P.A. by the Centers for Medicare & Medicaid Services?
The James Avenue Psychological Consultation, P.A. has been issued the NPI (National Provider Identifier) 1407924780 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of James Avenue Psychological Consultation, P.A.?
The James Avenue Psychological Consultation, P.A. is physically situated at 3220 Hampshire Ave N, in the city of Crystal, state of MN, with the postal code 554272249.
What is the James Avenue Psychological Consultation, P.A.'s specialty and taxonomy code?
The James Avenue Psychological Consultation, P.A.'s specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
When did the James Avenue Psychological Consultation, P.A. receive its 1407924780?
The James Avenue Psychological Consultation, P.A. was issued its 1407924780 on 2006-12-02, which is the date when the organization was assigned this unique identifier.
When was the information regarding James Avenue Psychological Consultation, P.A. most recently updated?
The details pertaining to the James Avenue Psychological Consultation, P.A., including its address, specialty, and other relevant information, were last refreshed on 2022-12-12.