REGENTS OF THE UNIVERSITY OF MINNESOTA (NPI# 1538389887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538389887 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF MINNESOTA |
| Other Organization Name | BOYNTON HEALTH SERVICE |
| Practice Address |
410 Church Street Se Minneapolis MN 55455-0346 |
| Practice Telephone | 6126258400 |
| Practice Fax Number | 6126251434 |
| Mailing Telephone | 6126258400 |
| Mailing Fax Number | 6126251434 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. EDWARD PETER EHLINGER (DIRECTOR) |
| Authorized Official Telephone | 6126251612 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF MINNESOTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 102L00000X | Psychoanalyst | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Boynton Health Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528515194 | Regents of The University of Minnesota | Clinic/Center | 814 S 3rd Street, Minneapolis, MN 55415 | 2016-09-01 |
| 1316223159 | Regents of The University of Minnesota | Military Hospital | 75 E River Rd, Elliott Hall, Rm# 416, Minneapolis, MN 55455-0366 | 2011-10-25 |
| 1952712366 | Regents of The University of Minnesota | Dentist | 515 Delaware St Se, 7-530 Moos Tower, Minneapolis, MN 55455-0369 | 2014-05-20 |
| 1164763629 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2013-03-08 |
| 1982907366 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2010-12-07 |
| 1962657932 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 6-322 Moos Tower, Minneapolis, MN 55455-0357 | 2008-11-18 |
| 1043472319 | Regents of The University of Minnesota | Specialist | 420 Delaware St Se, Mmc 501 Mayo, Minneapolis, MN 55455-0341 | 2008-06-27 |
| 1538338595 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2008-02-25 |
| 1790954766 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 6th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2008-02-25 |
| 1841469897 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 6-440 Moos Tower, Minneapolis, MN 55455-0357 | 2008-02-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF MINNESOTA | 106 Pleasant St Se Ste 210, Minneapolis, MN 55455-0433 |
| Street Address |
410 CHURCH STREET SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992062285 | Nisha Fernandes | Psychiatry & Neurology | 410 Church Street Se, Minneapolis, MN 55455 | 2012-04-11 |
| 1821218173 | Regents of The University of Minnesota | Technician/Technologist | 410 Church Street Se, Minneapolis, MN 55455-0346 | 2007-04-27 |
| 1528288875 | Regents of The University of Minnesota | Pharmacist | 410 Church Street Se, Minneapolis, MN 55455-0346 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| 1508472341 | Healing Path Center, LLC | Counselor | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-17 |
| 1386258143 | Breakthrough Therapy Center, LLC | Counselor | 2833 13th Ave S Ste 216, Minneapolis, MN 55407-1417 | 2020-08-31 |
| 1740893957 | Amzie Elizabeth Reeves | Counselor | 2010 E Hennepin Ave Ste 2-110, Minneapolis, MN 55413-2760 | 2020-08-26 |
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1063020931 | Grandpa & Grandma Adult Day Care, Inc. | Counselor | 2518 N 2nd St Ste 116, Minneapolis, MN 55411-2259 | 2020-07-16 |
| 1932724812 | Demi Rose Mancini | Counselor | 900 S 8th St Bldg 4th, Minneapolis, MN 55404-1292 | 2020-06-16 |
| 1891322277 | Susan Marie Daub | Counselor | 1330 Lagoon Ave Fl 4, Minneapolis, MN 55408-2885 | 2020-03-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF MINNESOTA.
| 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.