BRAD W HOUGHTON PSYD LP LLC (NPI# 1639588643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639588643 |
| Entity Type | Organization |
| Organization Name | BRAD W HOUGHTON PSYD LP LLC |
| Practice Address |
821 Raymond Ave Saint Paul MN 55114-1532 |
| Practice Telephone | 6516458300 |
| Practice Fax Number | 6516454603 |
| Mailing Telephone | 6516458300 |
| Mailing Fax Number | 6516454603 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | BRAD WILLIAM HOUGHTON (OWNER) |
| Authorized Official Telephone | 6123087038 |
| Authorized Official Credential | PSYD LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | LP4812 | MN | Managed Care Organizations |
| Street Address |
821 RAYMOND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906215 | Dick D Jones | Psychologist | 821 Raymond Ave, #330, Saint Paul, MN 55114-1503 | 2005-07-19 |
| 1861874273 | Generation Psychological Services, Inc. | Psychologist | 821 Raymond Ave, Suite 325, Saint Paul, MN 55114-1503 | 2015-06-22 |
| 1285027045 | Julia Moen, LLC | Social Worker | 821 Raymond Ave, Suite 440, Saint Paul, MN 55114-1503 | 2015-03-17 |
| 1841680659 | Julia Kimberly Moen | Social Worker | 821 Raymond Ave, Suite 440, Saint Paul, MN 55114-1503 | 2015-02-01 |
| 1396173126 | Kerry Mcintyre-lee | Marriage & Family Therapist | 821 Raymond Ave, Suite 240, Saint Paul, MN 55114-1503 | 2013-10-14 |
| 1669733762 | Bosak Mischke Inc. | Social Worker | 821 Raymond Ave, #300, Saint Paul, MN 55114-1525 | 2012-06-05 |
| 1336422161 | Michael Christopher Schaeffer | Social Worker | 821 Raymond Ave, Ste 440, Saint Paul, MN 55114-1525 | 2011-09-28 |
| 1679806269 | Jane L Mccampbell | Marriage & Family Therapist | 821 Raymond Ave, Suite 325, Saint Paul, MN 55114-1503 | 2009-09-14 |
| 1013158294 | Sherie Lou Bosak | Social Worker | 821 Raymond Ave, #300, Saint Paul, MN 55114-1503 | 2009-03-17 |
| 1952579385 | Sheila Thomas, M.a.l.p., Pllc | Psychologist | 821 Raymond Ave, Suite 270, Saint Paul, MN 55114-1503 | 2008-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1841613064 | Global Lynx, LLC | Point of Service | 1415 Arcade St, Suite 202, Saint Paul, MN 55106-1822 | 2014-01-23 |
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| 1265975080 | Cap Inc | Point of Service | 7376 200th Ave, Royalton, MN 56373-3614 | 2016-11-28 |
| 1639611890 | Bdote Learning Center | Point of Service | 3216 E 29th St, Minneapolis, MN 55406-1780 | 2016-11-04 |
| 1679936025 | Lingua Line LLC | Point of Service | 1409 11th Ave S Apt 408, Minneapolis, MN 55404-1417 | 2016-04-03 |
| 1184082471 | Asian Chiropractic Inc. | Point of Service | 7827 Brooklyn Blvd, Brooklyn Park, MN 55445-2716 | 2016-02-02 |
| 1487076238 | Chatters Lumber Inc | Point of Service | 4715 17th Ave S, Minneapolis, MN 55407-3613 | 2014-01-14 |
| 1497193536 | Annur Clinic LLC | Point of Service | 1729 Lyndale Ave N, Minneapolis, MN 55411-3349 | 2013-06-11 |
| 1982945184 | Premeir Home Healthcare | Point of Service | 612 E 27th St, Minneapolis, MN 55407-1002 | 2013-03-13 |
| 1164700076 | Sound Solutions Hearing Centers of Minnesota LLC. | Point of Service | 4101 W Division St Ste 4, Saint Cloud, MN 56301-3729 | 2011-07-26 |
| 1720381999 | Riley Millers Construction LLC. | Point of Service | 3725 Pawnee Dr Se, Alexandria, MN 56308-8971 | 2010-12-09 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
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| 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.