BRIH DESIGN LLC (NPI# 1114083540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114083540 |
| Entity Type | Organization |
| Organization Name | BRIH DESIGN LLC |
| Practice Address |
4535 Washburn Ave N Minneapolis MN 55412-1055 |
| Practice Telephone | 6125223945 |
| Practice Fax Number | 6125225124 |
| Mailing Telephone | 6125223945 |
| Mailing Fax Number | 6125225124 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STACY DEMARANVILLE (BUSINESS MANAGER) |
| Authorized Official Telephone | 6125223945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUECROSSBLUESHEILD GRP# | 60D83OS | 01 |
| Street Address |
4535 WASHBURN AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55412-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942380316 | Janice L Ostrom | Psychologist | 4535 Washburn Ave N, Minneapolis, MN 55412-1055 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778121 | Grace Group Home LLC | Home Delivered Meals | 3538 Fremont Ave N, Minneapolis, MN 55412 | 2019-06-11 |
| 1346708138 | Steven Keith Bell | Chiropractor | 3232 Fremont Ave. No, Suite 314, Mpls., MN 55412 | 2019-03-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1235676438 | The Helping Hands Mn L.L.C. | Home Health | 860 Blue Gentain Rd, 200, Eagen, MN 55412 | 2017-01-25 |
| 1982070454 | Sylvia Majors | Driver | 3443 Colfax Ave North, Minneapolis, MN 55412 | 2015-08-19 |
| 1962746859 | Maureen Ellis | Social Worker | 4151 Thomas Ave N, Minneapolis, MN 55412 | 2012-11-16 |
| 1770832552 | Mastery School Inc. | Local Education Agency (LEA) | 4021 Thomas Ave N, Minneapolis, MN 55412 | 2012-09-07 |
| 1902171416 | David Anthony Wicklund | Massage Therapist | 2206 44th Ave N, Minneapolis, MN 55412 | 2012-03-16 |
| 1376739656 | Gloria Dean Scales Peterson | Social Worker | 3333 North 4th Street, Minneapolis, MN 55412 | 2007-09-19 |
| 1922173798 | Rodney Allen Lenz | Dentist | 4207 Aldrich Avenue North, Minneapolis, MN 55412 | 2006-11-21 |
| Find all providers in zip 55412 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801208566 | Rose Mary Boerboom | Psychologist | 415 N 1st St, #502, Minneapolis, MN 55401-4305 | 2014-05-28 |
| 1073826913 | Scott Michael Jacoby | Psychologist | 2110 Lyndale Ave S, Minneapolis, MN 55405-3196 | 2010-07-20 |
| 1174686216 | Susan A Medo | Psychologist | 100 W Franklin Ave, Minneapolis, MN 55404-2433 | 2006-12-19 |
| 1447338702 | Eric Larsson | Psychologist | 2925 Dean Pkwy, Suite 300, Minneapolis, MN 55416-4470 | 2006-11-02 |
| 1417035551 | Jennifer Lynn Joseph | Psychologist | 3001 Broadway St Ne, Suite 185, Minneapolis, MN 55413-2195 | 2006-11-02 |
| 1942380316 | Janice L Ostrom | Psychologist | 4535 Washburn Ave N, Minneapolis, MN 55412-1055 | 2006-10-17 |
| 1740376268 | Debra Ann Stack | Psychologist | 2124 Dupont Avenue South #104, Minneapolis, MN 55403 | 2006-10-04 |
| 1194093641 | Kavita Mahesh Desai | Psychologist | 2545 Chicago Ave S, Suite 306, Mail Stop 17-306, Minneapolis, MN 55404-4543 | 2011-12-12 |
| 1649411406 | Meredith L. Gunlicks-stoessel | Psychologist | 2450 Riverside Ave, F256/2b West, Department of Psychiatry, Minneapolis, MN 55454-1450 | 2009-03-09 |
| 1003987983 | Murray Joseph Mcallister | Psychologist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-11-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55412 |
Please comment or provide details below to improve the information on BRIH DESIGN LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.