| Eleos Psychology Center | |
|
4500 Park Glen Rd Suite 450 Saint Louis Park MN 55416-4871 | |
| (952) 444-9744 | |
| (952) 444-9745 |
| Full Name | Eleos Psychology Center |
|---|---|
| Speciality | Psychologist |
| Location | 4500 Park Glen Rd, Saint Louis Park, Minnesota |
| Authorized Official Name and Position | Elizabeth Wagner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9524449744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleos Psychology Center 4500 Park Glen Rd Suite 450 Saint Louis Park MN 55416-4871 Ph: (952) 444-9744 | Eleos Psychology Center 4500 Park Glen Rd Suite 450 Saint Louis Park MN 55416-4871 Ph: (952) 444-9744 |
| NPI Number | 1740637818 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 07/01/2016 |
| Medicare PECOS PAC ID | 4183967219 |
|---|---|
| Medicare Enrollment ID | O20190513002410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740637818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5833 (Minnesota) | Primary |
| Provider Name | Elizabeth Ann Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922128529 PECOS PAC ID: 5092058123 Enrollment ID: I20190513002485 |
| Provider Name | Karen L Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447552070 PECOS PAC ID: 4486781903 Enrollment ID: I20190805001320 |
| Provider Name | Kelly Ann Buchta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114495827 PECOS PAC ID: 1658792866 Enrollment ID: I20200526001284 |
| Provider Name | Katelyn J Keil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861162760 PECOS PAC ID: 3375941602 Enrollment ID: I20211018000549 |
| Provider Name | Amanda Jane Ripley-kayala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376082206 PECOS PAC ID: 0749631398 Enrollment ID: I20240108004191 |
| Provider Name | Amani Shama Yassin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477210557 PECOS PAC ID: 5092166652 Enrollment ID: I20240108004313 |
| Provider Name | Elizabeth Ann Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033493390 PECOS PAC ID: 5991156556 Enrollment ID: I20240108004343 |
| Provider Name | Erin Margaret-campell Shields |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083170336 PECOS PAC ID: 0648621219 Enrollment ID: I20240108004629 |
| Provider Name | Angela Dawn Erspamer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295403681 PECOS PAC ID: 0941653968 Enrollment ID: I20240125004245 |
| Provider Name | Sydney Jo Bandemer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922681667 PECOS PAC ID: 8123461597 Enrollment ID: I20240213002554 |
True Therapy Mn, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5821 Cedar Lake Rd S., Unit 1, Suite 211, Saint Louis Park, MN 55416 Phone: 612-567-0053 | |
Relationship Therapy Center Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5407 Excelsior Boulevard, Suite B, Saint Louis Park, MN 55416 Phone: 612-787-2832 Fax: 952-920-9323 | |
Act Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Excelsior Blvd Ste 507a, Saint Louis Park, MN 55416 Phone: 612-836-3886 | |
Margaret Stearns, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5353 Gamble Dr Ste 110, Saint Louis Park, MN 55416 Phone: 763-432-4070 | |
Neurology Specialists, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Park Glen Road, Suite 160, Saint Louis Park, MN 55416 Phone: 952-767-7771 Fax: 952-767-7774 | |
Nancy Hawkins & Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4500 Park Glen Rd, Suite 360, Saint Louis Park, MN 55416 Phone: 952-929-9478 Fax: 952-929-9548 |