BROWNELL MACK III (NPI# 1023095627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023095627 |
| Entity Type | Individual |
| Full Name | BROWNELL MACK III |
| Credential | PSYD |
| Practice Address |
1313 Penn Ave N Minneapolis MN 55411-3047 |
| Practice Telephone | 6123024600 |
| Mailing Telephone | 6123024600 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | LP4548 | MN | Behavioral Health & Social Service Providers |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
LP4548 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1313 PENN AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831755776 | Maisee Moua-mcdaniel | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-05-16 |
| 1548723364 | Zadok Nampala | Social Worker | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-04-09 |
| 1013477348 | Lanette Howze | Community Health Worker | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-03-22 |
| 1043792666 | John Gatermann | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-08-30 |
| 1346729308 | Safiya Ahmed Abdullahi | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-08-10 |
| 1720576788 | Rachel Marie Freyberger | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-04-25 |
| 1902316821 | Vivian Ballah-swaray | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2017-10-05 |
| 1578080537 | Dal Vang Xiong | Registered Nurse | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2017-08-29 |
| 1184164337 | Shakeyla Barber | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411 | 2017-03-06 |
| 1316499551 | Cierra Shamar Alston | Counselor | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2016-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1104482074 | Sanvello Behavioral Health Services, P.a. | Psychologist | 150 S 5th St Ste 825, Minneapolis, MN 55402-4200 | 2019-05-15 |
| 1033674726 | Kristina Marie Duncombe Lowe | Psychologist | 910 E 26th St Ste 410, Minneapolis, MN 55404-4512 | 2019-02-06 |
| 1083192223 | Krista Yucuis | Psychologist | 725 8th Ave Se, Minneapolis, MN 55414-1364 | 2018-07-31 |
| 1720564941 | Shani Ofrat | Psychologist | 1 Veterans Dr # 2g-128, Minneapolis, MN 55417-2309 | 2018-07-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1497268122 | Andrea Lynn Potthoff | Psychologist | 7300 Metro Blvd Ste 640, Minneapolis, MN 55439-2313 | 2017-11-16 |
| 1871046912 | Christine E Bray | Psychologist | 1100 Washington Ave S, Suite 102, Minneapolis, MN 55415-1273 | 2016-07-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.