CARROLL PSYCHOLOGICAL SERVICES, INC. (NPI# 1043275688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043275688 |
| Entity Type | Organization |
| Organization Name | CARROLL PSYCHOLOGICAL SERVICES, INC. |
| Practice Address |
214 4th St Sw Willmar MN 56201-3330 |
| Mailing Address |
Po Box 1569 Willmar MN 56201-1569 |
| Practice Telephone | 3202147733 |
| Mailing Telephone | 3202147733 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICK J. CARROLL (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 3202147733 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP1747 | MN | Behavioral Health & Social Service Providers |
| Street Address |
214 4TH ST SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033269162 | Michelle Beeman | Counselor | 214 4th St Sw, Willmar, MN 56201-3330 | 2007-01-11 |
| 1437160264 | Crossroads Counseling Centers, Inc. | Clinic/Center | 214 4th St Sw, Willmar, MN 56201-3330 | 2006-08-10 |
| 1578574323 | Barbara Jane Zaeska | Social Worker | 214 4th St Sw, Willmar, MN 56201-3330 | 2006-08-10 |
| 1326059197 | Daniel S. Nelson | Counselor | 214 4th St Sw, Willmar, MN 56201-3330 | 2006-08-10 |
| 1235194382 | Patrick J. Carroll | Psychologist | 214 4th St Sw, Willmar, MN 56201-3330 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054476 | Julie Anne Patten | Psychologist | 1125 6th St Se, Willmar, MN 56201-4675 | 2019-10-17 |
| 1801452891 | Zachary Feist | Psychologist | 2320 Highway 12 E Ste 2, Willmar, MN 56201-5811 | 2019-05-15 |
| 1477011286 | Jessica Marie Martens | Psychologist | 2320 Highway 12 E Ste 2, Willmar, MN 56201-5811 | 2019-03-11 |
| 1770048100 | Karen Ann Urban | Psychologist | 1125 6th St Se, Willmar, MN 56201-4675 | 2019-02-11 |
| 1659856821 | Arundathi Raghavendra Rao | Psychologist | 2320 Highway 12 E Ste 2, Willmar, MN 56201-5811 | 2018-10-03 |
| 1306325634 | Ashley Caroline Millner | Psychologist | 2320 Highway 12 E Ste 2, Willmar, MN 56201-5811 | 2018-08-08 |
| 1235644386 | Angela Rose Ackerman | Psychologist | 2320 Highway 12 E Ste 2, Willmar, MN 56201-5811 | 2017-12-12 |
| 1174036529 | Rachelle Leigh Morrison | Psychologist | 2320 Highway 12 E Ste 2, Willmar, MN 56201-5811 | 2017-11-08 |
| 1083158364 | Shealynn Joyce | Psychologist | 2320 Highway 12 E, Suite 2, Willmar, MN 56201-5811 | 2016-12-06 |
| 1821416074 | Kayla Meyer | Psychologist | 513 5th St Sw, Willmar, MN 56201-3216 | 2014-04-04 |
| Find all providers in WILLMAR | ||||
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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.