| Hennepin County Mental Health Center | |
|
2215 E Lake St Minneapolis MN 55407-4385 | |
| (612) 596-9438 | |
| (612) 329-4500 |
| Full Name | Hennepin County Mental Health Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2215 E Lake St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Stephanie Abel (AREA MANAGER) |
| Authorized Official Contact | 6123488824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennepin County Mental Health Center 2215 E Lake St Minneapolis MN 55407-4385 Ph: (612) 596-9438 | Hennepin County Mental Health Center 2215 E Lake St Minneapolis MN 55407-4385 Ph: (612) 596-9438 |
| NPI Number | 1780790345 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 7911892849 |
|---|---|
| Medicare Enrollment ID | O20040218001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780790345 | NPI | - | NPPES |
| Provider Name | Michelle A Schabert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750317632 PECOS PAC ID: 1759285166 Enrollment ID: I20031126000107 |
| Provider Name | Brendon M Cullinan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326045139 PECOS PAC ID: 8426954967 Enrollment ID: I20031208000452 |
| Provider Name | Rahshana D Price-isuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942247887 PECOS PAC ID: 3375440266 Enrollment ID: I20031218000079 |
| Provider Name | Rozina H Bhimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366402315 PECOS PAC ID: 1951203967 Enrollment ID: I20040121000822 |
| Provider Name | Ronald J Hardrict |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689719742 PECOS PAC ID: 6901792803 Enrollment ID: I20040226000819 |
| Provider Name | Carol E Aschbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619943859 PECOS PAC ID: 2365438553 Enrollment ID: I20040422001293 |
| Provider Name | Corby J Benson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992778229 PECOS PAC ID: 3779561329 Enrollment ID: I20040709001032 |
| Provider Name | Robert B Rock |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417991696 PECOS PAC ID: 6406827542 Enrollment ID: I20040803001042 |
| Provider Name | David L Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902913239 PECOS PAC ID: 0143291732 Enrollment ID: I20040805000841 |
| Provider Name | Eric W Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154414050 PECOS PAC ID: 8325014491 Enrollment ID: I20040909000609 |
| Provider Name | Steven M Carney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548323223 PECOS PAC ID: 0941279103 Enrollment ID: I20040925000117 |
| Provider Name | John H. L. Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215953732 PECOS PAC ID: 3274502455 Enrollment ID: I20040927000127 |
| Provider Name | Mary M Karalus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437113610 PECOS PAC ID: 3779540448 Enrollment ID: I20041214000738 |
| Provider Name | Lavonne M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750348546 PECOS PAC ID: 6901855717 Enrollment ID: I20050119000768 |
| Provider Name | Bryan J Bergh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295817336 PECOS PAC ID: 8527015098 Enrollment ID: I20050406000845 |
| Provider Name | Henry Maranga Kerandi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407898133 PECOS PAC ID: 6103868492 Enrollment ID: I20050526000380 |
| Provider Name | Javon A Cleveland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912984410 PECOS PAC ID: 3779507835 Enrollment ID: I20060117000679 |
| Provider Name | Adele D Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154432110 PECOS PAC ID: 4284658899 Enrollment ID: I20060123000574 |
| Provider Name | Jeannine Marie Mueller-harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861413635 PECOS PAC ID: 6204841901 Enrollment ID: I20060216000486 |
| Provider Name | Kathleen H Sapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659476547 PECOS PAC ID: 7517963747 Enrollment ID: I20061011000661 |
| Provider Name | Lourdes M Pira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326089111 PECOS PAC ID: 4789788159 Enrollment ID: I20070326000213 |
| Provider Name | Krystal T Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205845278 PECOS PAC ID: 1355447020 Enrollment ID: I20070426000597 |
| Provider Name | Ashley J Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174542732 PECOS PAC ID: 3577669977 Enrollment ID: I20070501000519 |
| Provider Name | Carol J Wilson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1386749299 PECOS PAC ID: 5597861567 Enrollment ID: I20070508000496 |
| Provider Name | Robin L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407079478 PECOS PAC ID: 6103923248 Enrollment ID: I20070524000071 |
| Provider Name | Ngozi J Wamuo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447282231 PECOS PAC ID: 9032217872 Enrollment ID: I20070601000508 |
| Provider Name | Pamela E Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225054638 PECOS PAC ID: 0244338200 Enrollment ID: I20070614000529 |
| Provider Name | Kathleen M Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851314470 PECOS PAC ID: 4284717778 Enrollment ID: I20080206000579 |
| Provider Name | Robin L Dilts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841211786 PECOS PAC ID: 1557444056 Enrollment ID: I20080206000592 |
| Provider Name | Dean T Tsukayama |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629015086 PECOS PAC ID: 9234203027 Enrollment ID: I20080728000360 |
| Provider Name | Paul F Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194761544 PECOS PAC ID: 1052477619 Enrollment ID: I20090305000452 |
| Provider Name | Rebekah A Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033245980 PECOS PAC ID: 5193873339 Enrollment ID: I20090428000382 |
| Provider Name | Roderick T Alston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184802027 PECOS PAC ID: 4981758240 Enrollment ID: I20090820000584 |
| Provider Name | Kevin L Gilliam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073797858 PECOS PAC ID: 2365598166 Enrollment ID: I20090921000157 |
| Provider Name | Robin M Councilman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982656781 PECOS PAC ID: 8921135724 Enrollment ID: I20100428000163 |
| Provider Name | Jenny L Adams-salmela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831414085 PECOS PAC ID: 5799817169 Enrollment ID: I20100720001039 |
| Provider Name | Katherine E Stender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790001832 PECOS PAC ID: 8022142694 Enrollment ID: I20100818000256 |
| Provider Name | Jennifer A Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225282544 PECOS PAC ID: 0042406092 Enrollment ID: I20101202000341 |
| Provider Name | Katherine D Vickery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538335146 PECOS PAC ID: 8729268339 Enrollment ID: I20110214000495 |
| Provider Name | Mary C Shannon Myer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548302276 PECOS PAC ID: 7810177375 Enrollment ID: I20110215001209 |
| Provider Name | Ncha D Xiong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053555987 PECOS PAC ID: 0143401190 Enrollment ID: I20110223000775 |
| Provider Name | Rebecca I Skoler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720149834 PECOS PAC ID: 2860673852 Enrollment ID: I20110224000032 |
| Provider Name | Nancy J Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407865223 PECOS PAC ID: 7618159229 Enrollment ID: I20110302001065 |
| Provider Name | Margaret S Gorbatenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619026465 PECOS PAC ID: 4385827153 Enrollment ID: I20110331000956 |
| Provider Name | Annette C Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235441981 PECOS PAC ID: 8022292267 Enrollment ID: I20110412000726 |
| Provider Name | Bi E Ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124324348 PECOS PAC ID: 2961687215 Enrollment ID: I20110429000608 |
| Provider Name | Karen A Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073684288 PECOS PAC ID: 4587849583 Enrollment ID: I20110505000656 |
| Provider Name | Heidi J Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952366536 PECOS PAC ID: 6507034303 Enrollment ID: I20110721000851 |
| Provider Name | Catherine L Upham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689638868 PECOS PAC ID: 5193993855 Enrollment ID: I20110722000681 |
| Provider Name | Janet C Browde-brenner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497711253 PECOS PAC ID: 1658549233 Enrollment ID: I20110726000675 |
| Provider Name | Natalie J Hopfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497849517 PECOS PAC ID: 5092987297 Enrollment ID: I20111012000554 |
| Provider Name | Andrea J Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255581690 PECOS PAC ID: 8123290343 Enrollment ID: I20111012000765 |
| Provider Name | Yohance R Pickett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598052672 PECOS PAC ID: 5890968168 Enrollment ID: I20111101000757 |
| Provider Name | Michael S Kehoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184718165 PECOS PAC ID: 3577738087 Enrollment ID: I20111212000921 |
| Provider Name | Elizabeth C Goelz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952563116 PECOS PAC ID: 8628244910 Enrollment ID: I20120109000724 |
| Provider Name | Margaret Lc Fitzthum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598034845 PECOS PAC ID: 2062670995 Enrollment ID: I20120223000795 |
| Provider Name | Arielah Miriam King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225392764 PECOS PAC ID: 1557517729 Enrollment ID: I20120804000068 |
| Provider Name | Danielle C Robertshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417036872 PECOS PAC ID: 2567559321 Enrollment ID: I20120907000509 |
| Provider Name | Tou C Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518192053 PECOS PAC ID: 1759531148 Enrollment ID: I20121019000562 |
| Provider Name | Michelle K Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497005433 PECOS PAC ID: 6901056928 Enrollment ID: I20121026000589 |
| Provider Name | Alison J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124367701 PECOS PAC ID: 0648416172 Enrollment ID: I20130429000228 |
| Provider Name | Linda R Deters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225379381 PECOS PAC ID: 4789822933 Enrollment ID: I20130529000410 |
| Provider Name | Kimberly Lynn Bobbitt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568638674 PECOS PAC ID: 3971797432 Enrollment ID: I20130612000309 |
| Provider Name | Nina M Watercott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922363415 PECOS PAC ID: 8820245400 Enrollment ID: I20130729000302 |
| Provider Name | Sarah Minnick Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033459250 PECOS PAC ID: 7214163344 Enrollment ID: I20131120001274 |
| Provider Name | Susan T Pohl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720416142 PECOS PAC ID: 4486880333 Enrollment ID: I20131122001762 |
| Provider Name | Amy R Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336573500 PECOS PAC ID: 5799911335 Enrollment ID: I20131204000353 |
| Provider Name | Kristen Deann Sutley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528384237 PECOS PAC ID: 5799912515 Enrollment ID: I20131224000014 |
| Provider Name | Martha F Trevey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346558228 PECOS PAC ID: 5597944686 Enrollment ID: I20140116000054 |
| Provider Name | Megan K Shaughnessy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053535401 PECOS PAC ID: 9638300593 Enrollment ID: I20140319000460 |
| Provider Name | Cherisse C Sardon Garrity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457572968 PECOS PAC ID: 5991937203 Enrollment ID: I20140418000195 |
| Provider Name | Jennifer L Dynes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073628996 PECOS PAC ID: 4688894777 Enrollment ID: I20141014000503 |
| Provider Name | May Hang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194719617 PECOS PAC ID: 0648245654 Enrollment ID: I20141015000819 |
| Provider Name | Erica J Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952692204 PECOS PAC ID: 4981825890 Enrollment ID: I20141017001515 |
| Provider Name | Eliza G Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306271614 PECOS PAC ID: 4789811993 Enrollment ID: I20141209000098 |
| Provider Name | Bridget K Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508255399 PECOS PAC ID: 6901122837 Enrollment ID: I20150311001559 |
| Provider Name | Prisca C Okeahialam-swaray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073853172 PECOS PAC ID: 8123349198 Enrollment ID: I20150602002040 |
| Provider Name | George S Scaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508015108 PECOS PAC ID: 2769796739 Enrollment ID: I20150804005509 |
| Provider Name | Helen E Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730509357 PECOS PAC ID: 0446565089 Enrollment ID: I20150812006513 |
| Provider Name | Michelle S Haggerty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154689578 PECOS PAC ID: 7719208297 Enrollment ID: I20150911000614 |
| Provider Name | Cassandra S Garcia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194196147 PECOS PAC ID: 7618287228 Enrollment ID: I20151111002300 |
| Provider Name | William Thomas Madland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487742151 PECOS PAC ID: 6507876893 Enrollment ID: I20151123002930 |
| Provider Name | Chai T Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639542640 PECOS PAC ID: 2668773318 Enrollment ID: I20151222001620 |
| Provider Name | Joshua R Sabin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013358688 PECOS PAC ID: 6002118445 Enrollment ID: I20151231001358 |
| Provider Name | Meghan S Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043374259 PECOS PAC ID: 2466683453 Enrollment ID: I20160301002099 |
| Provider Name | Susannah R King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639534761 PECOS PAC ID: 6608166012 Enrollment ID: I20160526000067 |
| Provider Name | Carla M Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003100595 PECOS PAC ID: 7517257157 Enrollment ID: I20160609001507 |
| Provider Name | Pamela N Nkowa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740645522 PECOS PAC ID: 2062703390 Enrollment ID: I20160616002185 |
| Provider Name | Laci M Rumpza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760571582 PECOS PAC ID: 9830481027 Enrollment ID: I20160708000399 |
| Provider Name | Carmita Mcglory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982914255 PECOS PAC ID: 9638461783 Enrollment ID: I20160711000075 |
| Provider Name | Mai Nhia Moua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306204391 PECOS PAC ID: 3779875711 Enrollment ID: I20160712000768 |
| Provider Name | Rose B Agbor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164966925 PECOS PAC ID: 6507147519 Enrollment ID: I20170106000373 |
| Provider Name | Naomy M Abdurahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427590983 PECOS PAC ID: 7618250820 Enrollment ID: I20170214002193 |
| Provider Name | Susan L Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932163052 PECOS PAC ID: 4880636984 Enrollment ID: I20170303001214 |
| Provider Name | Steven Eric Pratt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629267497 PECOS PAC ID: 9537445689 Enrollment ID: I20170404002117 |
| Provider Name | Rosemary R Fister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194253724 PECOS PAC ID: 3274801402 Enrollment ID: I20170613000269 |
| Provider Name | Naomi A Windham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801318167 PECOS PAC ID: 1658643382 Enrollment ID: I20170815004575 |
| Provider Name | Sheila Marie Hennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366712614 PECOS PAC ID: 2961776174 Enrollment ID: I20170926002770 |
| Provider Name | Elvis T Starllone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942723143 PECOS PAC ID: 0941561674 Enrollment ID: I20180221000159 |
| Provider Name | Vivian K Ballah Swaray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902316821 PECOS PAC ID: 7012278690 Enrollment ID: I20180222000098 |
| Provider Name | Olufunmilola Okanla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841626132 PECOS PAC ID: 4981959954 Enrollment ID: I20180614001748 |
| Provider Name | Amy E Cantazaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407147713 PECOS PAC ID: 3870843238 Enrollment ID: I20180905001998 |
| Provider Name | Dannie Marie Paskewitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740768878 PECOS PAC ID: 2163774787 Enrollment ID: I20181010000879 |
| Provider Name | Charles T Pokora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689051765 PECOS PAC ID: 7214236157 Enrollment ID: I20181211001189 |
| Provider Name | Migmar Wangchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326522285 PECOS PAC ID: 7618213059 Enrollment ID: I20190107001826 |
| Provider Name | John R Gatermann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043792666 PECOS PAC ID: 6901144682 Enrollment ID: I20190206000093 |
| Provider Name | Darrin A Krenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518463462 PECOS PAC ID: 2769721539 Enrollment ID: I20190222001994 |
| Provider Name | Farooqua B Jafri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750600847 PECOS PAC ID: 9032432224 Enrollment ID: I20190326001019 |
| Provider Name | Stephanie Corrente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861056368 PECOS PAC ID: 1355675463 Enrollment ID: I20190624002505 |
| Provider Name | Ia O Her |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285286823 PECOS PAC ID: 8527397082 Enrollment ID: I20190909001256 |
| Provider Name | Catherine J Lavergne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205480522 PECOS PAC ID: 1850621988 Enrollment ID: I20191002002706 |
| Provider Name | Hallie Lauren Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205104494 PECOS PAC ID: 7416288378 Enrollment ID: I20191008002819 |
| Provider Name | Ellen Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770831067 PECOS PAC ID: 2365694353 Enrollment ID: I20191114000995 |
| Provider Name | Mary Elizabeth Spaniol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104329234 PECOS PAC ID: 0446684138 Enrollment ID: I20200106002654 |
| Provider Name | Tolu Okuneye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235787409 PECOS PAC ID: 0749615904 Enrollment ID: I20200115002956 |
| Provider Name | Patrice Danielle Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295374171 PECOS PAC ID: 4789010489 Enrollment ID: I20200128001764 |
| Provider Name | John Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457584443 PECOS PAC ID: 1951737279 Enrollment ID: I20200205001651 |
| Provider Name | Emily Ann Bail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447879119 PECOS PAC ID: 2961815535 Enrollment ID: I20201229001477 |
| Provider Name | Sarah Judith Mithun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871130336 PECOS PAC ID: 6305259300 Enrollment ID: I20210112003081 |
| Provider Name | Christie Nicole Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497274542 PECOS PAC ID: 4981018348 Enrollment ID: I20210126000414 |
| Provider Name | Loveline N Ngu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891309969 PECOS PAC ID: 2062826415 Enrollment ID: I20210127000813 |
| Provider Name | Drew T Dietle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629431416 PECOS PAC ID: 1153605605 Enrollment ID: I20210203003087 |
| Provider Name | Zadok Nampala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548723364 PECOS PAC ID: 0547676959 Enrollment ID: I20210310000955 |
| Provider Name | Peter Lyle Noteboom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952996894 PECOS PAC ID: 9830505106 Enrollment ID: I20210311000112 |
| Provider Name | Rachel Ks Harlos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497285720 PECOS PAC ID: 1355672510 Enrollment ID: I20210317003072 |
| Provider Name | Rhett Berg |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346703501 PECOS PAC ID: 6800204181 Enrollment ID: I20210427000747 |
| Provider Name | Billy Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033286414 PECOS PAC ID: 1052720166 Enrollment ID: I20210430001892 |
| Provider Name | Saari Anne Mccornack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518437912 PECOS PAC ID: 0941619944 Enrollment ID: I20210504000561 |
| Provider Name | Linda Lor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407401466 PECOS PAC ID: 2769811702 Enrollment ID: I20210619000042 |
| Provider Name | Carrie E Nedrud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740570910 PECOS PAC ID: 2264659176 Enrollment ID: I20211011002041 |
| Provider Name | Antonique L Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700377124 PECOS PAC ID: 7719375658 Enrollment ID: I20211027000533 |
| Provider Name | Joanna Bourain |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003482217 PECOS PAC ID: 1759779515 Enrollment ID: I20211027001937 |
| Provider Name | Laura Lee Swan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073822276 PECOS PAC ID: 0244629525 Enrollment ID: I20211106000130 |
| Provider Name | Hulda M Mosiori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528673779 PECOS PAC ID: 0749670644 Enrollment ID: I20211208002767 |
| Provider Name | Nicole Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619579729 PECOS PAC ID: 9931590544 Enrollment ID: I20211215001065 |
| Provider Name | Millicent Boa Amponsem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858769 PECOS PAC ID: 1658615570 Enrollment ID: I20220425002618 |
| Provider Name | Emily Thor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942945266 PECOS PAC ID: 0941688147 Enrollment ID: I20220531001587 |
| Provider Name | Pang Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073265328 PECOS PAC ID: 4880074426 Enrollment ID: I20220629001728 |
| Provider Name | Brian Matthew Sager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972157626 PECOS PAC ID: 3375928419 Enrollment ID: I20220909002852 |
| Provider Name | Shuri Loveline Nwunasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841924719 PECOS PAC ID: 7012392459 Enrollment ID: I20220921000538 |
| Provider Name | Anna Christine Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851015192 PECOS PAC ID: 5193193282 Enrollment ID: I20221121002558 |
| Provider Name | Brenna Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710695440 PECOS PAC ID: 6901275379 Enrollment ID: I20221206002787 |
| Provider Name | Simone Chale Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891339271 PECOS PAC ID: 9436514965 Enrollment ID: I20230504002845 |
| Provider Name | Akshaya Selvamani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902469240 PECOS PAC ID: 8325373749 Enrollment ID: I20230830003669 |
| Provider Name | Anjali Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760150676 PECOS PAC ID: 7214391598 Enrollment ID: I20230920000351 |
| Provider Name | Theodore Joseph Klimek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619531118 PECOS PAC ID: 8325494958 Enrollment ID: I20231102000368 |
| Provider Name | Kerry Hoch Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992457022 PECOS PAC ID: 7911354980 Enrollment ID: I20231113002378 |
| Provider Name | Brianna Braun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366056392 PECOS PAC ID: 1355792367 Enrollment ID: I20240103004017 |
| Provider Name | Sonali M Gore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508304171 PECOS PAC ID: 9638514946 Enrollment ID: I20240227000616 |
Futurebrain Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 W Lake Nokomis Pkwy, Minneapolis, MN 55417 Phone: 612-378-2363 Fax: 612-378-2363 | |
Phoenix Adolescent Outpatient Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 13th Ave Se, Minneapolis, MN 55414 Phone: 651-734-3268 Fax: 612-378-4886 | |
1-0 Granny's Helpful Hands, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Lake St, Minneapolis, MN 55407 Phone: 612-824-1177 | |
Community Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Washington Ave N, Minneapolis, MN 55401 Phone: 202-450-0351 | |
Resilient Intimacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 E 48th St Ste 5, Minneapolis, MN 55417 Phone: 651-802-8302 | |
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 | |
Hennepin County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Chicago Ave Ste 200, Minneapolis, MN 55404 Phone: 612-596-9438 Fax: 612-329-4500 |