Associated Clinic Of Psychology Inc | |
4027 County Road 25 St Louis Park MN 55416 | |
(612) 925-6033 | |
(612) 925-8496 |
Full Name | Associated Clinic Of Psychology Inc |
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Speciality | Clinic/Center |
Location | 4027 County Road 25, St Louis Park, Minnesota |
Authorized Official Name and Position | John E Brose (CEO) |
Authorized Official Contact | 6129256033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associated Clinic Of Psychology Inc 4240 Park Glen Rd St Louis Park MN 55416-4758 Ph: (612) 925-6033 | Associated Clinic Of Psychology Inc 4027 County Road 25 St Louis Park MN 55416 Ph: (612) 925-6033 |
NPI Number | 1588741292 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 09/06/2018 |
Medicare PECOS PAC ID | 0749171320 |
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Medicare Enrollment ID | O20040323000833 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588741292 | NPI | - | NPPES |
CT0661 | Other | MN | RAILROAD MEDICARE |
3920 | Other | MN | HEALTHPARTNERS |
277723100 | Medicaid | MN | |
475-94AS | Other | MN | BCBS |
Provider Name | Kristin M Schmidt Shay |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740362300 PECOS PAC ID: 4789582339 Enrollment ID: I20031222000144 |
Provider Name | Dean K Knudson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215980008 PECOS PAC ID: 6204815335 Enrollment ID: I20040714000362 |
Provider Name | Natalie A Rosen |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1023157492 PECOS PAC ID: 2567441413 Enrollment ID: I20040715000461 |
Provider Name | Paul A Ekberg |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477531960 PECOS PAC ID: 4587638952 Enrollment ID: I20040823000117 |
Provider Name | Sushila N Mohan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033171533 PECOS PAC ID: 6002880473 Enrollment ID: I20040823000139 |
Provider Name | Dustin J Warner |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437227949 PECOS PAC ID: 9537122197 Enrollment ID: I20041105000171 |
Provider Name | Joan M Najbar |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932252863 PECOS PAC ID: 3476519190 Enrollment ID: I20041204000205 |
Provider Name | Melina V Simonson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649362997 PECOS PAC ID: 5294780888 Enrollment ID: I20050316000725 |
Provider Name | Ali Ebrahimi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619048907 PECOS PAC ID: 7719934439 Enrollment ID: I20050405000988 |
Provider Name | Michele F Dodds |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396935219 PECOS PAC ID: 4688612427 Enrollment ID: I20050421000611 |
Provider Name | Alford S Karayusuf |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811063654 PECOS PAC ID: 9335181551 Enrollment ID: I20050527000445 |
Provider Name | Nicole L Larson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720048317 PECOS PAC ID: 0547291569 Enrollment ID: I20050829000876 |
Provider Name | Brownell E Mack |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023095627 PECOS PAC ID: 3274557277 Enrollment ID: I20060117001091 |
Provider Name | Floyd O Anderson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467421768 PECOS PAC ID: 0648285122 Enrollment ID: I20060221000238 |
Provider Name | Catherine R Johnson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457381055 PECOS PAC ID: 4789697483 Enrollment ID: I20060725000320 |
Provider Name | Caroline Schultz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457441818 PECOS PAC ID: 6305845603 Enrollment ID: I20061214000384 |
Provider Name | Lori K Myren Manbeck |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275673675 PECOS PAC ID: 5698877165 Enrollment ID: I20070301000511 |
Provider Name | Gregg A Riley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1073681649 PECOS PAC ID: 0244337525 Enrollment ID: I20070522000063 |
Provider Name | Reiko Tanaka |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659582526 PECOS PAC ID: 9638277064 Enrollment ID: I20070608000501 |
Provider Name | Mary Louise A Ramirez |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295877009 PECOS PAC ID: 0648363325 Enrollment ID: I20070911000871 |
Provider Name | David A Schmitt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982702924 PECOS PAC ID: 9739277468 Enrollment ID: I20071114000224 |
Provider Name | Joseph A Erickson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881765097 PECOS PAC ID: 4284715046 Enrollment ID: I20080117000534 |
Provider Name | Kimberly J Oftedahl-brooks |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356467856 PECOS PAC ID: 5092890103 Enrollment ID: I20080313000633 |
Provider Name | Shelley L Pucci |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154593861 PECOS PAC ID: 7416036504 Enrollment ID: I20080430000530 |
Provider Name | Heidi Hathaway |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780755256 PECOS PAC ID: 6204902240 Enrollment ID: I20080827000592 |
Provider Name | Beth A Gourley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619120870 PECOS PAC ID: 2365507803 Enrollment ID: I20090217000080 |
Provider Name | Jennifer M Wolfe |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1134371321 PECOS PAC ID: 8224193602 Enrollment ID: I20090218000643 |
Provider Name | Melinda K Fristedt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730207150 PECOS PAC ID: 2466509187 Enrollment ID: I20090416000130 |
Provider Name | Paul T Pawlicki |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477791556 PECOS PAC ID: 9436208741 Enrollment ID: I20090515000403 |
Provider Name | Kimberly M Wolf |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1285725291 PECOS PAC ID: 1153399704 Enrollment ID: I20090626000360 |
Provider Name | Amanda R Thooft |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154556223 PECOS PAC ID: 6305987348 Enrollment ID: I20100112000858 |
Provider Name | Andrew D Krueger |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275769077 PECOS PAC ID: 8022152230 Enrollment ID: I20100225000249 |
Provider Name | Bethany J Mattson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902027881 PECOS PAC ID: 7517098296 Enrollment ID: I20100624000033 |
Provider Name | Patricia A Mosing |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982714051 PECOS PAC ID: 2567593833 Enrollment ID: I20100630000406 |
Provider Name | Kristi L Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497071856 PECOS PAC ID: 4082747407 Enrollment ID: I20100804001211 |
Provider Name | Francis J Pasnecker |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184726408 PECOS PAC ID: 2668596941 Enrollment ID: I20100824000989 |
Provider Name | Michelle M Millenacker |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386711729 PECOS PAC ID: 0446433395 Enrollment ID: I20110330000534 |
Provider Name | David J Huberty |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407915812 PECOS PAC ID: 0345423109 Enrollment ID: I20110331000870 |
Provider Name | Leah A Jones |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194891135 PECOS PAC ID: 3971787110 Enrollment ID: I20110412000692 |
Provider Name | John E Brose |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871652263 PECOS PAC ID: 4587555164 Enrollment ID: I20110419000698 |
Provider Name | Margaret M Brown |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447535059 PECOS PAC ID: 8527235522 Enrollment ID: I20120113000671 |
Provider Name | Emily Elizabeth Carlson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588937627 PECOS PAC ID: 5890954788 Enrollment ID: I20120313000477 |
Provider Name | Thomas R White |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518289859 PECOS PAC ID: 7416118815 Enrollment ID: I20120411000717 |
Provider Name | Martha M Franke |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316062276 PECOS PAC ID: 5991956377 Enrollment ID: I20121112000495 |
Provider Name | Alison Spano Hernandez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841541448 PECOS PAC ID: 5698927267 Enrollment ID: I20121205000185 |
Provider Name | James J Knipler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033458799 PECOS PAC ID: 3476708272 Enrollment ID: I20130228000179 |
Provider Name | Justin J Miles |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881984441 PECOS PAC ID: 1557516291 Enrollment ID: I20130301000168 |
Provider Name | Lana M Wolfe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659672418 PECOS PAC ID: 1052559630 Enrollment ID: I20130522000132 |
Provider Name | Sandra R Streitman |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508988981 PECOS PAC ID: 8921240771 Enrollment ID: I20130807001057 |
Provider Name | Muriel D Philipp |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1194167643 PECOS PAC ID: 9830324854 Enrollment ID: I20131029001665 |
Provider Name | Alyson Mease Vanahn |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205038387 PECOS PAC ID: 6204062896 Enrollment ID: I20131204002155 |
Provider Name | Craig M Roelke |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750722195 PECOS PAC ID: 6901033042 Enrollment ID: I20131216001457 |
Provider Name | Sheri L Rosencrantz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114343779 PECOS PAC ID: 0941433577 Enrollment ID: I20140505002181 |
Provider Name | Jennifer M Nash-wright |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710062765 PECOS PAC ID: 5294782546 Enrollment ID: I20150113001116 |
Provider Name | Jennifer Petzel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760644371 PECOS PAC ID: 6305913872 Enrollment ID: I20150115001825 |
Provider Name | Leeann Catherine Lewis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578930293 PECOS PAC ID: 1254647522 Enrollment ID: I20150901001593 |
Provider Name | Leah L Kaplan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265892962 PECOS PAC ID: 9830496405 Enrollment ID: I20160325000017 |
Provider Name | Kiana W Joyner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750736708 PECOS PAC ID: 4789973025 Enrollment ID: I20160510001550 |
Provider Name | Sharon E Schultz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619014362 PECOS PAC ID: 3173574787 Enrollment ID: I20160516002390 |
Provider Name | Julie A Blatz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619420817 PECOS PAC ID: 4880988153 Enrollment ID: I20160809001996 |
Provider Name | Michelle E Jones |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962850065 PECOS PAC ID: 4284929316 Enrollment ID: I20160829000126 |
Provider Name | Karen L Helfand |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477856045 PECOS PAC ID: 0244525376 Enrollment ID: I20160829000258 |
Provider Name | Natalie A Tobeck |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427415082 PECOS PAC ID: 1153617162 Enrollment ID: I20160901001944 |
Provider Name | Ariel D Brinson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629526405 PECOS PAC ID: 5597052753 Enrollment ID: I20161003001128 |
Provider Name | Stephanie L Dibb |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093160103 PECOS PAC ID: 3577845973 Enrollment ID: I20170119001708 |
Provider Name | Robert J Hoppe |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1417366832 PECOS PAC ID: 1456634906 Enrollment ID: I20170208001545 |
Provider Name | Katelin N Varnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235669490 PECOS PAC ID: 5294007928 Enrollment ID: I20170815004601 |
Provider Name | Erica L Stellick Woods |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063935146 PECOS PAC ID: 6002188638 Enrollment ID: I20170817000123 |
Provider Name | Shannon K Stanton |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1902315096 PECOS PAC ID: 1456627793 Enrollment ID: I20171101000080 |
Provider Name | Rebekah J Elling |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700391034 PECOS PAC ID: 3678832847 Enrollment ID: I20180116000348 |
Provider Name | Frederick William Houts |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518152172 PECOS PAC ID: 7618161290 Enrollment ID: I20180416001493 |
Provider Name | Jerrion A Richardson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225550791 PECOS PAC ID: 2668735879 Enrollment ID: I20180420000584 |
Provider Name | Bethany J Butler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245624568 PECOS PAC ID: 4789939901 Enrollment ID: I20180612001433 |
Provider Name | Emma G Sutton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366874612 PECOS PAC ID: 7719233998 Enrollment ID: I20180629001847 |
Provider Name | Brin A Bailey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821563685 PECOS PAC ID: 1759635436 Enrollment ID: I20181115001426 |
Provider Name | Sandra L Forest |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093285645 PECOS PAC ID: 3870838667 Enrollment ID: I20181226000984 |
Provider Name | James P Viken |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699239434 PECOS PAC ID: 2466791660 Enrollment ID: I20190306001335 |
Provider Name | Paul R Ellison |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326374117 PECOS PAC ID: 0749522563 Enrollment ID: I20190426001970 |
Provider Name | Alicia M Newman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609434547 PECOS PAC ID: 0345574992 Enrollment ID: I20190702000342 |
Provider Name | Peggy Jackson Chun |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326601089 PECOS PAC ID: 4981930062 Enrollment ID: I20190726001875 |
Provider Name | Patrick A Roberts |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1407332836 PECOS PAC ID: 9032542550 Enrollment ID: I20191227001929 |
Provider Name | Natasha K Satre |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962041590 PECOS PAC ID: 5890121909 Enrollment ID: I20200210001855 |
Provider Name | J N Capecchi-nguyen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881213395 PECOS PAC ID: 0446681183 Enrollment ID: I20200512002689 |
Provider Name | Stacie L Darke |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1952551731 PECOS PAC ID: 8921429887 Enrollment ID: I20200601001531 |
Provider Name | Jennifer Evelyn Paine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851915086 PECOS PAC ID: 9739503319 Enrollment ID: I20200716001480 |
Provider Name | Sonia Nothmann |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831638550 PECOS PAC ID: 1355767310 Enrollment ID: I20200820002727 |
Provider Name | Nancy J Olson-engebreth |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023503430 PECOS PAC ID: 8921427287 Enrollment ID: I20201006001610 |
Provider Name | Karen H Butler |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1346384559 PECOS PAC ID: 3779995402 Enrollment ID: I20201222000156 |
Provider Name | Pamela A Krueger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982291167 PECOS PAC ID: 5890109623 Enrollment ID: I20210205001415 |
Provider Name | Darcy D Winsor |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306430897 PECOS PAC ID: 3971910894 Enrollment ID: I20210322000185 |
Provider Name | Daniella M Rafnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295311512 PECOS PAC ID: 1355759986 Enrollment ID: I20210421000866 |
Provider Name | Fierra M Nussbaum |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104393883 PECOS PAC ID: 2163831975 Enrollment ID: I20210507000890 |
Provider Name | Sandy M Mccracken-rootes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952982951 PECOS PAC ID: 2062811946 Enrollment ID: I20210526000276 |
Provider Name | Kendall A Monroe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356885644 PECOS PAC ID: 6406107796 Enrollment ID: I20210630002404 |
Provider Name | Elizabeth L Walker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417528258 PECOS PAC ID: 3779987300 Enrollment ID: I20210804002029 |
Provider Name | Marni Jean Severson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952077042 PECOS PAC ID: 2769889344 Enrollment ID: I20210923003676 |
Provider Name | Emily Adrian |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114680931 PECOS PAC ID: 0547659203 Enrollment ID: I20211118000512 |
Provider Name | Peter Lynn |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093486110 PECOS PAC ID: 3274924378 Enrollment ID: I20211228001885 |
Provider Name | Amy Pickering |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154743789 PECOS PAC ID: 6608269451 Enrollment ID: I20220131002134 |
Provider Name | Lisa M Twomey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619638525 PECOS PAC ID: 1456744135 Enrollment ID: I20220201001158 |
Provider Name | Jason Edward Miller |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073144788 PECOS PAC ID: 1254724420 Enrollment ID: I20220210002055 |
Provider Name | Carol A Bauer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407113129 PECOS PAC ID: 2961889423 Enrollment ID: I20220523001269 |
Provider Name | Brenda M Frye |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740410760 PECOS PAC ID: 4082099346 Enrollment ID: I20220922001948 |
Provider Name | Shannon J Lorenzen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760102610 PECOS PAC ID: 5890171136 Enrollment ID: I20221010002845 |
Provider Name | Alex J Hoyt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003530734 PECOS PAC ID: 7012384662 Enrollment ID: I20221110001563 |
Provider Name | Nancy E Dager |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972228955 PECOS PAC ID: 1557739885 Enrollment ID: I20221117002315 |
Provider Name | Emily A Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578288320 PECOS PAC ID: 4082082060 Enrollment ID: I20221122003368 |
Provider Name | Elizabeth Baudhuin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710694286 PECOS PAC ID: 8022487818 Enrollment ID: I20221219000905 |
Provider Name | Amy P Kuusisto-lathrop |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275699381 PECOS PAC ID: 5193197143 Enrollment ID: I20230221000916 |
Provider Name | Lauren E Riegert |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417655515 PECOS PAC ID: 7214301522 Enrollment ID: I20230327002950 |
Provider Name | Sierra N Carter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134815640 PECOS PAC ID: 5991161887 Enrollment ID: I20230518003046 |
Provider Name | Ufuoma P Otebele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649961145 PECOS PAC ID: 0941668800 Enrollment ID: I20230626000244 |
Provider Name | Jackline M Moriasi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326761842 PECOS PAC ID: 7416329420 Enrollment ID: I20230802002019 |
Provider Name | Jennifer E Shriver |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396428322 PECOS PAC ID: 0143684852 Enrollment ID: I20230914000240 |
Provider Name | Aislinn J Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629851225 PECOS PAC ID: 4789039801 Enrollment ID: I20231010002616 |
Provider Name | Hillary J.a. Hercules |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992581755 PECOS PAC ID: 8729433446 Enrollment ID: I20231016001019 |
Provider Name | Youhung Her-xiong |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649822941 PECOS PAC ID: 3678921582 Enrollment ID: I20231201002110 |
Provider Name | Magret I Dannenfeld |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1629201421 PECOS PAC ID: 5395198147 Enrollment ID: I20240128000154 |
Provider Name | Leslie A Wise |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013615145 PECOS PAC ID: 6901259787 Enrollment ID: I20240129000843 |
Provider Name | Andrea M Yeager |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205463668 PECOS PAC ID: 6507219383 Enrollment ID: I20240129000983 |
Provider Name | Julie B Van Gundy |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598439416 PECOS PAC ID: 3072966860 Enrollment ID: I20240129001248 |
Provider Name | Craig S Clark |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780165696 PECOS PAC ID: 7810340585 Enrollment ID: I20240129004443 |
Provider Name | Sarah J Najafalipour |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013534817 PECOS PAC ID: 7214380906 Enrollment ID: I20240130000429 |
Provider Name | Georgiana Mcelwain |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1407528359 PECOS PAC ID: 6406209196 Enrollment ID: I20240130000706 |
Provider Name | Dana C Tran |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1316181845 PECOS PAC ID: 3779936471 Enrollment ID: I20240130000716 |
Provider Name | Wendi M Anderson |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1174815864 PECOS PAC ID: 3274986856 Enrollment ID: I20240131000224 |
Provider Name | Stanley B Thiele |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1851628341 PECOS PAC ID: 9133572746 Enrollment ID: I20240131001018 |
Provider Name | Gretchen L Bueide |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1730143306 PECOS PAC ID: 2567815186 Enrollment ID: I20240131001453 |
Provider Name | Kelly L Johnson |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1508081456 PECOS PAC ID: 8426401936 Enrollment ID: I20240131004724 |
Provider Name | Gregory M Milbrath |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1316538226 PECOS PAC ID: 3274986658 Enrollment ID: I20240201002523 |
Provider Name | Megan A Larson |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1689352924 PECOS PAC ID: 5092168492 Enrollment ID: I20240201003249 |
Provider Name | Lisa J Lippold |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306382007 PECOS PAC ID: 8224481536 Enrollment ID: I20240201003914 |
Provider Name | Joel C Friesen |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1811056385 PECOS PAC ID: 3870936933 Enrollment ID: I20240206003435 |
Provider Name | Mitchell M Tavernier |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205229358 PECOS PAC ID: 9436592110 Enrollment ID: I20240209001122 |
Provider Name | Alexis M Owings |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184312191 PECOS PAC ID: 6800239518 Enrollment ID: I20240209002271 |
Provider Name | Rebecca Gonsior |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174303119 PECOS PAC ID: 9931542461 Enrollment ID: I20240212002061 |
Provider Name | Lynn E Penney |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1760923940 PECOS PAC ID: 2769826825 Enrollment ID: I20240216000115 |
Provider Name | Rebecca L Schema |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053759175 PECOS PAC ID: 4587057674 Enrollment ID: I20240221000048 |
Provider Name | Maurika S Hickman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376313700 PECOS PAC ID: 5294170692 Enrollment ID: I20240226000875 |
Provider Name | Hannah E Dirkse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831969385 PECOS PAC ID: 7113362450 Enrollment ID: I20240227001642 |
Provider Name | Stephanie A Brace |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1902059751 PECOS PAC ID: 0840635975 Enrollment ID: I20240228004394 |
Provider Name | Richard G Duchene |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1407394232 PECOS PAC ID: 2860837465 Enrollment ID: I20240305000598 |
Provider Name | Madalyn L Cioci |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497321772 PECOS PAC ID: 8426495110 Enrollment ID: I20240318000244 |
Provider Name | Anita H Lucente |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346885845 PECOS PAC ID: 3577902667 Enrollment ID: I20240423001120 |
Provider Name | Ubah M Hirsi |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1194348599 PECOS PAC ID: 1355782905 Enrollment ID: I20240514000452 |
Lee H Beecher Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Creekside Bldg Suite 121, St Louis Park, MN 55426 Phone: 952-935-7116 Fax: 952-935-0687 | |
Park Psychotherapy & Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Excelsior Blvd, Suite 501, St Louis Park, MN 55416 Phone: 952-927-0170 Fax: 952-927-7027 | |
Mason Moore Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5009 Excelsior Blvd Ste 136, St Louis Park, MN 55416 Phone: 952-925-5343 | |
Dennis Philander, Md, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5775 Wayzata Blvd, Suite 700, St Louis Park, MN 55416 Phone: 612-314-8072 Fax: 612-314-8072 | |
Groves Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Highway 100 S, St Louis Park, MN 55416 Phone: 952-920-6377 Fax: 952-920-2068 | |
Mcgovern Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3340 Republic Ave Ste 120, St Louis Park, MN 55426 Phone: 612-564-8897 | |
Polaris Autism Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 W End Blvd Ste 100, St Louis Park, MN 55416 Phone: 952-228-1299 |