Dr Amanda Corey Porter, PSYD | |
1400 Jefferson Rd, Northfield, MN 55057-3081 | |
(651) 241-0775 | |
(651) 241-0772 |
Full Name | Dr Amanda Corey Porter |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 17 Years |
Location | 1400 Jefferson Rd, Northfield, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447217138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2007030012 (Missouri) | Secondary |
103T00000X | Psychologist | LP5356 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Dr Amanda Corey Porter, PSYD 1400 Jefferson Rd, Northfield, MN 55057-3081 Ph: (651) 241-0775 | Dr Amanda Corey Porter, PSYD 1400 Jefferson Rd, Northfield, MN 55057-3081 Ph: (651) 241-0775 |
Barbara Anne Bofenkamp, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Division St, Northfield, MN 55057 Phone: 507-645-9304 Fax: 507-645-6151 | |
Theresa M Melnychenko, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 680 Professional Dr, Northfield, MN 55057 Phone: 507-663-0237 Fax: 507-663-1180 | |
Dr. Nathaniel Page, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2423 Valley Dr, Northfield, MN 55057 Phone: 801-471-8851 | |
Dr. Sylvia Jane Rinehart, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Division St S, Northfield, MN 55057 Phone: 507-645-9304 Fax: 507-645-6151 | |
Robyn Gunderson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 680 Professional Dr, Northfield, MN 55057 Phone: 507-663-0237 Fax: 507-663-1180 | |
Mr. Daniel John Dimick, MA, LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 4th St E Ste 304, Northfield, MN 55057 Phone: 507-645-6575 | |
Elaine M Nesbit, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Division St, Center For Human Resources, Northfield, MN 55057 Phone: 507-645-9304 Fax: 507-645-6151 |