| Twin Cities Psychological Services, Ltd. | |
|
825 Nicollet Mall Suite 1455 Minneapolis MN 55402-2606 | |
| (612) 345-5194 | |
| Not Available |
| Full Name | Twin Cities Psychological Services, Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Grace Kim (VICE PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 6123455194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Cities Psychological Services, Ltd. 825 Nicollet Mall Ste 1455 Minneapolis MN 55402-2703 Ph: (612) 345-5194 | Twin Cities Psychological Services, Ltd. 825 Nicollet Mall Suite 1455 Minneapolis MN 55402-2606 Ph: (612) 345-5194 |
| NPI Number | 1487065660 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Medicare PECOS PAC ID | 1759506637 |
|---|---|
| Medicare Enrollment ID | O20140709001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487065660 | NPI | - | NPPES |
| 1407185564 | Other | VA | NPI |
| 179-0012-318 | Other | VA | NPI |
| Provider Name | Robert Lee Reis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407185564 PECOS PAC ID: 5395960272 Enrollment ID: I20140709001089 |
| Provider Name | Grace Y Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790012318 PECOS PAC ID: 8527245257 Enrollment ID: I20141009002526 |
| Provider Name | Starlain Saldana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861736209 PECOS PAC ID: 5597081406 Enrollment ID: I20150311000887 |
| Provider Name | Heather B Trangsrud |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568829489 PECOS PAC ID: 0446535843 Enrollment ID: I20170328000351 |
| Provider Name | Travis Lane Mathias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841706967 PECOS PAC ID: 1658700729 Enrollment ID: I20200609002372 |
| Provider Name | Karli Dahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386194652 PECOS PAC ID: 1557753373 Enrollment ID: I20220127001773 |
| Provider Name | Roger Pollock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326553447 PECOS PAC ID: 4183071103 Enrollment ID: I20231114000852 |
| Provider Name | Jessica Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194238675 PECOS PAC ID: 8527415405 Enrollment ID: I20231115001106 |
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