SBTV LLC (NPI# 1992265615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992265615 |
| Entity Type | Organization |
| Organization Name | SBTV LLC |
| Practice Address |
6121 Excelsior Blvd Ste 101a St Louis Park MN 55416-2752 |
| Mailing Address |
Po Box 490171 Minneapolis MN 55449-0171 |
| Practice Telephone | 6124408742 |
| Practice Fax Number | 7165319060 |
| Mailing Telephone | 6124408742 |
| Mailing Fax Number | 7165319060 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. NATALIE M MARR (OWNER) |
| Authorized Official Telephone | 6124408742 |
| Authorized Official Credential | PSY.D., LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 4960 | 05 |
| Other Name | Type Code |
|---|---|
| SBTV LLC | Doing Business As Name - Organization |
| Street Address |
6121 EXCELSIOR BLVD STE 101A |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053979435 | Mcgovern Psychotherapy, LLC | Clinic/Center | 3340 Republic Ave Ste 120, St Louis Park, MN 55426-4189 | 2019-05-31 |
| 1881184778 | Colleen Morrissette, Pllc | Clinic/Center | 3340 Republic Ave, St Louis Park, MN 55426-4154 | 2018-05-16 |
| 1699265470 | Megan Gingo Counseling, Pllc | Clinic/Center | 3340 Republic Ave, St Louis Park, MN 55426-4154 | 2018-05-16 |
| 1225326036 | Caspersen, LLC | Clinic/Center | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416-2929 | 2011-07-13 |
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| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.