| Arden Woods Psychological Services Pa | |
|
900 Long Lake Rd Suite 320 New Brighton MN 55112-6428 | |
| (651) 482-9361 | |
| (651) 482-9888 |
| Full Name | Arden Woods Psychological Services Pa |
|---|---|
| Speciality | Psychologist |
| Location | 900 Long Lake Rd, New Brighton, Minnesota |
| Authorized Official Name and Position | Thomas S Hainlen (PRESIDENT CLINICAL DIRECTOR) |
| Authorized Official Contact | 6514829361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arden Woods Psychological Services Pa 900 Long Lake Rd Suite 320 New Brighton MN 55112-6428 Ph: (651) 482-9361 | Arden Woods Psychological Services Pa 900 Long Lake Rd Suite 320 New Brighton MN 55112-6428 Ph: (651) 482-9361 |
| NPI Number | 1669576278 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 05/14/2012 |
| Medicare PECOS PAC ID | 3173429214 |
|---|---|
| Medicare Enrollment ID | O20031210000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669576278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shawn L Hofer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760493936 PECOS PAC ID: 4486659976 Enrollment ID: I20060915000092 |
| Provider Name | Thomas S Hainlen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750483608 PECOS PAC ID: 8527964568 Enrollment ID: I20100908001021 |
| Provider Name | David G Kirby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952403800 PECOS PAC ID: 6305961681 Enrollment ID: I20100909000704 |
| Provider Name | Mathew W Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215039169 PECOS PAC ID: 7911022298 Enrollment ID: I20100909000739 |
| Provider Name | Cheryl L Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164524013 PECOS PAC ID: 0244355535 Enrollment ID: I20100909000803 |
| Provider Name | Loren P Hubin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841200698 PECOS PAC ID: 5597880880 Enrollment ID: I20100909000837 |
| Provider Name | Jordan A. Lindh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902232549 PECOS PAC ID: 7810276425 Enrollment ID: I20161122000485 |
| Provider Name | Tanya L. Berg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750702650 PECOS PAC ID: 4385094770 Enrollment ID: I20231227002522 |
| Provider Name | Christine J Tamez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144657255 PECOS PAC ID: 9638521636 Enrollment ID: I20240116000282 |
| Provider Name | Mark Eric Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649372590 PECOS PAC ID: 5991157950 Enrollment ID: I20240116002323 |
| Provider Name | Michelle E Beilby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205162443 PECOS PAC ID: 2466804216 Enrollment ID: I20240117004482 |
| Provider Name | Teri Ann Wylie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801998760 PECOS PAC ID: 9739532979 Enrollment ID: I20240124002459 |
| Provider Name | Judy Lynn Rotach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669659314 PECOS PAC ID: 1951745009 Enrollment ID: I20240216003283 |
| Provider Name | Ann Louise Jones |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1174616247 PECOS PAC ID: 7517196959 Enrollment ID: I20240313000338 |
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