Center For Victims Of Torture | |
649 Dayton Ave Saint Paul MN 55104-6631 | |
(612) 436-4840 | |
Not Available |
Full Name | Center For Victims Of Torture |
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Speciality | Community/Behavioral Health |
Location | 649 Dayton Ave, Saint Paul, Minnesota |
Authorized Official Name and Position | Ka Thao (MEDICAL BILLING COORDINATOR) |
Authorized Official Contact | 6124364860 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Victims Of Torture 649 Dayton Ave Saint Paul MN 55104-6631 Ph: (612) 436-4840 | Center For Victims Of Torture 649 Dayton Ave Saint Paul MN 55104-6631 Ph: (612) 436-4840 |
NPI Number | 1124111729 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 09/12/2024 |
Certification Date | 09/12/2024 |
Medicare PECOS PAC ID | 4688656291 |
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Medicare Enrollment ID | O20040607000109 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124111729 | NPI | - | NPPES |
22572 | Other | FM | HEALTH PARTNERS |
120700 | Other | MN | UCARE |
243513600 | Medicaid | MN | |
318LOCE | Other | MN | MN BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Rosa E Garcia-peltoniemi |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710055991 PECOS PAC ID: 9133108129 Enrollment ID: I20040714000901 |
Provider Name | Andrea K Northwood |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194807537 PECOS PAC ID: 4284684291 Enrollment ID: I20050127000541 |
Provider Name | Jean H Choe |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164511739 PECOS PAC ID: 9133201221 Enrollment ID: I20080129000135 |
Provider Name | Alison F Beckman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437247525 PECOS PAC ID: 2668559956 Enrollment ID: I20080410000748 |
Provider Name | In-zu Tuan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609941749 PECOS PAC ID: 7113078643 Enrollment ID: I20090624000047 |
Provider Name | Anne D Slanina |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336688837 PECOS PAC ID: 3274818489 Enrollment ID: I20170329002824 |
Provider Name | Emily A Manaen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871994715 PECOS PAC ID: 1850623232 Enrollment ID: I20191105000476 |
Provider Name | Molly Ab Drew |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164615142 PECOS PAC ID: 0042647802 Enrollment ID: I20200218000290 |
Provider Name | Amy F Kamel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992220396 PECOS PAC ID: 1759712151 Enrollment ID: I20200520000225 |
Provider Name | Susan I Jasko |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881829984 PECOS PAC ID: 9638500036 Enrollment ID: I20200520000355 |
Provider Name | Esther W Muturi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285151126 PECOS PAC ID: 0345671665 Enrollment ID: I20200520001649 |
Provider Name | Jenna K Nomeland |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053716746 PECOS PAC ID: 0446671556 Enrollment ID: I20200528000044 |
Provider Name | Jennifer C Scofield |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285234146 PECOS PAC ID: 1557775681 Enrollment ID: I20210201000274 |
Provider Name | Laura J Gueron |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679270425 PECOS PAC ID: 8022482256 Enrollment ID: I20230329002675 |
Provider Name | Anna Leslie Solfest |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447968839 PECOS PAC ID: 9638534712 Enrollment ID: I20230424002757 |
Provider Name | Charissa B Cable |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902488323 PECOS PAC ID: 1759741952 Enrollment ID: I20230719004037 |
Provider Name | Shruti Dasgupta |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356794937 PECOS PAC ID: 4587024617 Enrollment ID: I20230720001350 |
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