JAMES JOSEPH CAVANAUGH


Address: 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305-2018
Phone: 6124542058

JAMES JOSEPH CAVANAUGH (NPI# 1588120596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588120596
Entity Type Individual
Full Name JAMES JOSEPH CAVANAUGH
Credential LADC
Practice Address 11900 Wayzata Blvd Ste 100
Minnetonka
MN 55305-2018
Practice Telephone 6124542058
Practice Fax Number 9525461683
Mailing Telephone 6124542058
Mailing Fax Number 9525461683
Enumeration Date 2019-02-14
Last Update Date 2019-02-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
302366 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1922448620 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3470 Washington Dr Ste 165, Eagan, MN 551223517 6124542058 6514542972
1825 Curve Crest Blvd W Ste 103, Stillwater, MN 550826054 6124542058 6513510162

Other Providers JAMES CAVANAUGH

NPI Name Taxonomy Address Enumeration
1427151505 James Matthew Cavanaugh Dentist 209 Clocktower Sq, Portsmouth, RI 02871 2006-09-06
1922157932 James Cavanaugh Physical Therapist 2100 Erwin Rd, Durham, NC 27710-0001 2007-01-09
1558425892 James S Cavanaugh Physician Assistant 7400 Merton Minter St, Dept of Otolaryngology, San Antonio, TX 78229-4404 2006-12-21
1659482214 James J Cavanaugh Allergy & Immunology 51 Main St, Suite 2, Hyannis, MA 02601-3109 2006-08-31
1629088745 James L Cavanaugh Jr. Psychiatry & Neurology 300 S Ashland Ave, 207, Chicago, IL 60607-2701 2006-08-09

Office Location

Street Address 11900 WAYZATA BLVD STE 100
City MINNETONKA
State MN
Zip Code 55305-2018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811469653 Matthew Jon Thorson Counselor 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305-2018 2018-12-18
1003389669 James Patrick Mcenroe Counselor 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305-2018 2019-01-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255948584 Sober Living Connection Substance Abuse Rehabilitation Facility 11115 Minnetonka Blvd, Hopkins, MN 55305 2020-09-30
1649739103 Gabriel Douglas Orem Occupational Therapist 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 2019-03-14
1750863106 Andrea Haglin Counselor 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 2018-09-02
1770934499 Acme Transportation Private Vehicle 11356 Cedar Pointe Dr, Minnetonka, MN 55305 2016-06-23
1841641743 Laine Cecily Hartwell Epp Counselor 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 2016-06-22
1407217367 Larissa Vados Acupuncturist 11654 Wayzata Blvd, Minnetonka, MN 55305 2016-03-18
1548658982 Irene Grudsky Contractor 10550 Wayzata Blvd, Minnetonka, MN 55305 2015-01-08
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1235472275 Katherine Thistle Rivard Dietitian, Registered 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 2013-03-28
1558633784 Vickie Lynn Schaefer Social Worker 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 2012-02-03
Find all providers in zip 55305

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790386456 Alexandra Lloyd Conroy Counselor 3227 Lake Shore Boulevard, Minnetonka, MN 55391 2020-11-07
1811469653 Matthew Jon Thorson Counselor 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305-2018 2018-12-18
1801397302 Fartun Ahmed Counselor 16020 Temple Dr, Minnetonka, MN 55345-3422 2018-02-21
1285098202 Deborah Hagen Counselor 2601 Abbey Hill Dr, Minnetonka, MN 55305-2333 2016-04-06
1316314131 Todd Wilson Counselor 5101 Boarshead Rd, Apt #117, Minnetonka, MN 55345-4042 2015-08-27
1902295306 Jackie Harrison Counselor 12708 Wayzata Blvd, Suite 412, Minnetonka, MN 55305-1916 2015-01-22
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1154603116 Judy D Siems Counselor 1615 Archwood Rd, Minnetonka, MN 55305 2011-09-15
1265556203 Odyssey Programs, LLC Counselor 14300 Cty Rd 62, Minnetonka, MN 55345 2007-03-16
1093856502 Scott C Washburn Counselor 15320 Minnetonka Blvd #200, Minnetonka, MN 55345 2007-02-08
Find all providers in MINNETONKA

Competitor

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City MINNETONKA
Zip Code 55305

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Dataset Information

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.

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