JONATHAN B JENSEN (NPI# 1366534273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366534273 |
| Entity Type | Individual |
| Full Name | JONATHAN B JENSEN |
| Credential | MD |
| Practice Address |
2450 Riverside Ave Se 2a West Minneapolis MN 55454-1450 |
| Mailing Address |
2450 Riverside Ave S 2 West Minneapolis MN 55455 |
| Practice Telephone | 6122738700 |
| Practice Fax Number | 6122738787 |
| Mailing Telephone | 6122738700 |
| Mailing Fax Number | 6122738787 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
20799 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 095293100 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 8D926JE | 01 |
| MN | MEDICA-CHOICE | 1514059 | 01 |
| ARAZ | 768179 | 01 | |
| MN | FAIRVIEW | 082701 | 01 |
| MN | PREFERRED ONE | 1009157 | 01 |
| MN | MEDICA-PRIMARY | 1514059 | 01 |
| MN | HEALTH PARTNERS | HP22358 | 01 |
| MN | U CARE | 102784 | 01 |
| MN | RR MEDICARE | 260026114 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2312 South 6th Street, Suite F256 / 2b West, Minneapolis, MN 55454 | 6122738700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396149134 | Jonathan Jensen | Registered Nurse | Pmb 216 1270 N Marine Corps Dr Ste 101, Tamuning, GU 96913 | 2014-10-21 |
| 1205384922 | Jonathan Jensen | Behavioral Analyst | 5709 W Sunset Hwy, Spokane, WA 99224-6005 | 2016-09-12 |
| 1760825137 | Jonathan Andrew Jensen | Urology | 2626 N Webb Rd, Wichita, KS 67226-8110 | 2013-04-16 |
| 1598745002 | Jonathan Edward Jensen | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-01-19 |
| Street Address |
2450 RIVERSIDE AVE SE 2A WEST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689644908 | Tambra R Dahlheimer | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-01-26 |
| 1669890745 | Ashish Gupta | Pediatrics | 2450 Riverside Ave Se, Minneapolis, MN 55454 | 2014-04-04 |
| 1538369871 | Emily Greengard | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2007-07-24 |
| 1396861217 | Jodell E Dahl | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454-0341 | 2007-03-22 |
| 1407903156 | Weston Peter Miller Iv | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2007-01-04 |
| 1881771947 | Margaret L Macmillan | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-11-01 |
| 1720176308 | Peter I Karachunski | Psychiatry & Neurology | 2450 Riverside Ave Se, Minneapolis, MN 55455-5545 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
| 1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
| 1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
| 1801836127 | Sanjiv Kumra | Psychiatry & Neurology | 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 | 2006-06-07 |
| 1437566437 | Chiamaka Perditta Nwankiti | Psychiatry & Neurology | 2450 Riverside Ave South, Minneapolis, MN 55455 | 2014-07-22 |
| 1558776930 | Raghu Gandhi | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-24 |
| 1235419631 | Narendran Mavinakayinahalli Neelakantachar | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-08-17 |
| 1801100102 | Catherine Jordan Steingraeber | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2010-07-29 |
| 1346484227 | Diana Marie Pandey | Psychiatry & Neurology | 800 E 28th St, Mr 12301, Minneapolis, MN 55407-3723 | 2009-04-23 |
| 1467507152 | William R Dikel | Psychiatry & Neurology | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2007-01-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on JONATHAN B JENSEN.
| 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.