| Psych Recovery, Inc. | |
|
2550 University Ave W Suite 229n Saint Paul MN 55114-1052 | |
| (651) 645-3115 | |
| (651) 645-2752 |
| Full Name | Psych Recovery, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2550 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Sarah Elizabeth Anderson (CEO) |
| Authorized Official Contact | 6516453115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Recovery, Inc. 2550 University Ave W Suite 229n Saint Paul MN 55114-1052 Ph: (651) 645-3115 | Psych Recovery, Inc. 2550 University Ave W Suite 229n Saint Paul MN 55114-1052 Ph: (651) 645-3115 |
| NPI Number | 1316189541 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 11/10/2010 |
| Medicare PECOS PAC ID | 3779633912 |
|---|---|
| Medicare Enrollment ID | O20090610000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316189541 | NPI | - | NPPES |
| DO8695 | Other | MN | RAILROAD MEDICARE GA |
| Provider Name | Catherine M Strub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760594535 PECOS PAC ID: 9335047620 Enrollment ID: I20031223000583 |
| Provider Name | Eduardo D Trinidad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780663203 PECOS PAC ID: 0941263537 Enrollment ID: I20041104000953 |
| Provider Name | Deborah L Orman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174500508 PECOS PAC ID: 4486696994 Enrollment ID: I20050525000369 |
| Provider Name | Morris L Lewis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477792372 PECOS PAC ID: 2163451410 Enrollment ID: I20050808000617 |
| Provider Name | Craig J Vine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164400495 PECOS PAC ID: 7911932363 Enrollment ID: I20051004000934 |
| Provider Name | Sarah E Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336118447 PECOS PAC ID: 2961422399 Enrollment ID: I20051130000800 |
| Provider Name | Shelley S Berven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265539308 PECOS PAC ID: 7517973175 Enrollment ID: I20060306000790 |
| Provider Name | Lisa C Cowley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366479347 PECOS PAC ID: 6507879103 Enrollment ID: I20060727000204 |
| Provider Name | Christine Maren Anderson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780880781 PECOS PAC ID: 9133213168 Enrollment ID: I20070920000624 |
| Provider Name | Katina M Pougiales |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477588028 PECOS PAC ID: 9638252091 Enrollment ID: I20080208000365 |
| Provider Name | Bhargavi Shiledar Ghate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467622498 PECOS PAC ID: 2466583299 Enrollment ID: I20100623000355 |
| Provider Name | Karen L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326105610 PECOS PAC ID: 9133309990 Enrollment ID: I20110210000880 |
| Provider Name | Jacqueline B Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760710388 PECOS PAC ID: 5799960944 Enrollment ID: I20110503000481 |
| Provider Name | Kelly A Treanor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508159997 PECOS PAC ID: 2961671367 Enrollment ID: I20110801000417 |
| Provider Name | Tiffany M Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467553230 PECOS PAC ID: 3476701186 Enrollment ID: I20120920000603 |
| Provider Name | Christie Marie Meyerdirk Cuttell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992041032 PECOS PAC ID: 5496900441 Enrollment ID: I20130225000247 |
| Provider Name | Erich C Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497044069 PECOS PAC ID: 2668611302 Enrollment ID: I20130610000580 |
| Provider Name | Sandra D Klein-hegge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285078634 PECOS PAC ID: 5395984975 Enrollment ID: I20130611000399 |
| Provider Name | Anna Lenore Dralle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396234480 PECOS PAC ID: 0446505283 Enrollment ID: I20180619000378 |
| Provider Name | Jeanne M Forbes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164958666 PECOS PAC ID: 5294001343 Enrollment ID: I20181116002568 |
| Provider Name | Susan L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457506677 PECOS PAC ID: 0840356713 Enrollment ID: I20191016000828 |
| Provider Name | Gladys Ndip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245899285 PECOS PAC ID: 2264826304 Enrollment ID: I20220307000308 |
| Provider Name | John Zechary Kiiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821740093 PECOS PAC ID: 6406237593 Enrollment ID: I20220720003421 |
| Provider Name | Annemarie E Herrlich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396075917 PECOS PAC ID: 2961855960 Enrollment ID: I20240130001724 |
| Provider Name | Ngunge A Antongawoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548022874 PECOS PAC ID: 5496191660 Enrollment ID: I20240311000644 |
| Provider Name | Philip L Burton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174182984 PECOS PAC ID: 3375980170 Enrollment ID: I20240327004009 |
| Provider Name | Ngon M Ndifongwa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225892375 PECOS PAC ID: 5496193294 Enrollment ID: I20240408000963 |
| Provider Name | Sarah Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225575962 PECOS PAC ID: 9234574229 Enrollment ID: I20240509001542 |
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