TOONSTRA PSYCHOLOGICAL SERVICES, PC


Address: 107 Se 10th St, Unit 102, Grand Rapids, MN 55744-3914
Phone: 2182597424

TOONSTRA PSYCHOLOGICAL SERVICES, PC (NPI# 1588850465) 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) 1588850465
Entity Type Organization
Organization Name TOONSTRA PSYCHOLOGICAL SERVICES, PC
Practice Address 107 Se 10th St
Unit 102
Grand Rapids
MN 55744-3914
Mailing Address Po Box 5187
Grand Rapids
MN 55744-1187
Practice Telephone 2182597424
Mailing Telephone 2182597424
Enumeration Date 2007-09-24
Last Update Date 2007-09-24
Authorized Official Name MR. MARTIN JEFFREY TOONSTRA (OWNER)
Authorized Official Telephone 2182597424
Authorized Official Credential MS, LP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
LP3523 MN Ambulatory Health Care Facilities

Office Location

Street Address 107 SE 10TH ST
UNIT 102
City GRAND RAPIDS
State MN
Zip Code 55744-3914

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City GRAND RAPIDS
Zip Code 55744

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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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