| Access Healthcare Services, Llc | |
|
5861 Cedar Lake Rd S Minneapolis MN 55416-1653 | |
| (763) 541-1393 | |
| Not Available |
| Full Name | Access Healthcare Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5861 Cedar Lake Rd S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Judy Goldetsky (CEO) |
| Authorized Official Contact | 7635456017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Healthcare Services, Llc 7060 Imhoff Ave Nw Maple Lake MN 55358-2431 Ph: (763) 541-1393 | Access Healthcare Services, Llc 5861 Cedar Lake Rd S Minneapolis MN 55416-1653 Ph: (763) 541-1393 |
| NPI Number | 1972057644 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 08/10/2016 |
| Medicare PECOS PAC ID | 2961782040 |
|---|---|
| Medicare Enrollment ID | O20161207000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972057644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Gary M Goldetsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124129382 PECOS PAC ID: 5799840302 Enrollment ID: I20090216000189 |
| Provider Name | Paul S Holte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750610622 PECOS PAC ID: 1254627334 Enrollment ID: I20160916000468 |
| Provider Name | Kathleen A Oberton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346600897 PECOS PAC ID: 0941582423 Enrollment ID: I20170117002513 |
| Provider Name | Mary H Brixius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427656891 PECOS PAC ID: 2961813563 Enrollment ID: I20201203001949 |
| Provider Name | Jennifer A Brummer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356088991 PECOS PAC ID: 7719354315 Enrollment ID: I20221111000903 |
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