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8441 Wayzata Blvd. Ste 160 Golden Valley MN 55426 | |
| (763) 566-0088 | |
| (763) 566-0089 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 8441 Wayzata Blvd. Ste 160, Golden Valley, Minnesota |
| Authorized Official Name and Position | Lisa Mcdonald (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7632317602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8441 Wayzata Blvd. Ste 160 Golden Valley MN 55426 Ph: (763) 566-0088 | 8441 Wayzata Blvd. Ste 160 Golden Valley MN 55426 Ph: (763) 566-0088 |
| NPI Number | 1003879164 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638184468 |
|---|---|
| Medicare Enrollment ID | O20060215000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003879164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Minnesota) | Primary |
| Provider Name | Rachel L Mack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841604717 PECOS PAC ID: 8123247541 Enrollment ID: I20140917002368 |
| Provider Name | Jennifer J Hovey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881054617 PECOS PAC ID: 2062740087 Enrollment ID: I20190828002183 |
| Provider Name | Janet Christine Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588099501 PECOS PAC ID: 7618328261 Enrollment ID: I20240108003969 |
| Provider Name | Cynthia Diane Engelkes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033445556 PECOS PAC ID: 3072966308 Enrollment ID: I20240201004598 |
| Provider Name | Ryan Michael Meade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962925750 PECOS PAC ID: 0446693758 Enrollment ID: I20240202003144 |
| Provider Name | Cynthia Miller Gill |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497906689 PECOS PAC ID: 7719327477 Enrollment ID: I20240429000082 |
| Provider Name | Renee Louise Santoro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376133439 PECOS PAC ID: 1254771975 Enrollment ID: I20240429002513 |
| Provider Name | Ingrid Sanchez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851847115 PECOS PAC ID: 0244670974 Enrollment ID: I20240429002999 |
| Provider Name | Catherine Hutchinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548575301 PECOS PAC ID: 6002258464 Enrollment ID: I20240530002353 |
| Provider Name | Samanntha Mouacheupao |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689368078 PECOS PAC ID: 4486191699 Enrollment ID: I20240806002702 |
| Provider Name | Kara Arne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316031685 PECOS PAC ID: 4082671557 Enrollment ID: I20240806003063 |
Lucinda Cummings, Ph.d., Lp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, #212, Golden Valley, MN 55426 Phone: 763-546-1796 Fax: 763-546-8260 | |
Stephanie Untiedt, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422 Phone: 763-595-7294 Fax: 763-595-7293 | |
Buice Behavioral Healthcare Consultants Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Douglas Dr N Ste 120, Golden Valley, MN 55422 Phone: 763-807-5254 Fax: 763-465-3032 |