| Catalyst Mental Health, Gbc | |
|
1915 Lyndale Ave S Minneapolis MN 55403-3380 | |
| (800) 336-5973 | |
| (612) 234-4689 |
| Full Name | Catalyst Mental Health, Gbc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1915 Lyndale Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Naomi Kuster (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7013365973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Mental Health, Gbc 1915 Lyndale Ave S Minneapolis MN 55403-3380 Ph: (800) 336-5973 | Catalyst Mental Health, Gbc 1915 Lyndale Ave S Minneapolis MN 55403-3380 Ph: (800) 336-5973 |
| NPI Number | 1134490147 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 1355500752 |
|---|---|
| Medicare Enrollment ID | O20120305000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134490147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Pamela Leigh Dehkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326160573 PECOS PAC ID: 0143485649 Enrollment ID: I20120709000230 |
| Provider Name | Elizabeth B Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568898831 PECOS PAC ID: 5395971345 Enrollment ID: I20131121000291 |
| Provider Name | Jaime E Christmas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780074997 PECOS PAC ID: 0143547125 Enrollment ID: I20150401000679 |
| Provider Name | Timothy Bechtel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942533823 PECOS PAC ID: 4880913029 Enrollment ID: I20150509000186 |
| Provider Name | Nichelle A Dillon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417320052 PECOS PAC ID: 0446551550 Enrollment ID: I20151215001056 |
| Provider Name | Patricia A White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740639517 PECOS PAC ID: 5395038392 Enrollment ID: I20160728001698 |
| Provider Name | Nicole Scales Lindberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649437419 PECOS PAC ID: 5193010700 Enrollment ID: I20160822001764 |
| Provider Name | Brant M Thomsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245686104 PECOS PAC ID: 1951663616 Enrollment ID: I20180319000629 |
| Provider Name | Adam C. Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760545180 PECOS PAC ID: 6800273772 Enrollment ID: I20220513002276 |
| Provider Name | Samantha Faith Hinnenkamp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871262170 PECOS PAC ID: 2062877996 Enrollment ID: I20230428001325 |
| Provider Name | Stephanie Ann Palazzola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922237148 PECOS PAC ID: 4587026547 Enrollment ID: I20230808004020 |
| Provider Name | Judith Cavazos-beal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609093087 PECOS PAC ID: 3072963164 Enrollment ID: I20240102003397 |
| Provider Name | Mi Ki Leong |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427595628 PECOS PAC ID: 4082065693 Enrollment ID: I20240109000101 |
| Provider Name | Katheryn Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861944761 PECOS PAC ID: 5799136271 Enrollment ID: I20240109002869 |
| Provider Name | Theresa J Crawford |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891134524 PECOS PAC ID: 7810348307 Enrollment ID: I20240109003145 |
| Provider Name | Rebecca Ellen Kempenich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245591007 PECOS PAC ID: 7810348208 Enrollment ID: I20240110002419 |
| Provider Name | Chris Bezenson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417324179 PECOS PAC ID: 1658722863 Enrollment ID: I20240111002323 |
| Provider Name | Thomas A Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598268237 PECOS PAC ID: 7911359062 Enrollment ID: I20240115000603 |
| Provider Name | Hannah Daniels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578210464 PECOS PAC ID: 8224480215 Enrollment ID: I20240116000061 |
| Provider Name | Melissa Lee Gawlik |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093958001 PECOS PAC ID: 0143663492 Enrollment ID: I20240205000150 |
| Provider Name | Allison M Herdering |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659071991 PECOS PAC ID: 8921441312 Enrollment ID: I20240213003365 |
| Provider Name | Yaneth Annette Cunningham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417516931 PECOS PAC ID: 3779927645 Enrollment ID: I20240219003007 |
| Provider Name | Jesse Severt Ellis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376794354 PECOS PAC ID: 1254775968 Enrollment ID: I20240221003202 |
| Provider Name | Erik Gordon Dahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942858659 PECOS PAC ID: 6002254505 Enrollment ID: I20240403001206 |
| Provider Name | Martha L. Lind |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316285125 PECOS PAC ID: 1951743244 Enrollment ID: I20240531003435 |
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The Uptown Center For Psychotherapy Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3253 Humboldt Ave S, Minneapolis, MN 55408 Phone: 920-277-7923 | |
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