Provider Demographics
| NPI: | 1912693821 |
|---|---|
| Name: | HUFFMAN INSTITUTE INC |
| Entity type: | Organization |
| Organization Name: | HUFFMAN INSTITUTE INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | RYAN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HUFFMAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DNP |
| Authorized Official - Phone: | 865-200-6160 |
| Mailing Address - Street 1: | 752 GRAND AVE STE 1 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAINT PAUL |
| Mailing Address - State: | MN |
| Mailing Address - Zip Code: | 55105-3306 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 651-447-7071 |
| Mailing Address - Fax: | 651-478-6920 |
| Practice Address - Street 1: | 752 GRAND AVE STE 1 |
| Practice Address - Street 2: | |
| Practice Address - City: | SAINT PAUL |
| Practice Address - State: | MN |
| Practice Address - Zip Code: | 55105-3306 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 651-447-7071 |
| Practice Address - Fax: | 651-478-6920 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-04-13 |
| Last Update Date: | 2023-04-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | Group - Multi-Specialty | |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 364SP0813X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Geropsychiatric | Group - Multi-Specialty |
