DR. BROOKE ANDERSON (NPI# 1053686857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053686857 |
| Entity Type | Individual |
| Full Name | DR. BROOKE ANDERSON |
| Credential | PSY. D. |
| Practice Address |
6 E Diamond Lake Rd Minneapolis MN 55419-1923 |
| Practice Telephone | 6125676674 |
| Practice Fax Number | 6128140668 |
| Mailing Telephone | 6125676674 |
| Mailing Fax Number | 6128140668 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5797 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144708843 | Brooke Helen Anderson | Behavior Technician | 7 Simonds Farm Rd, North Billerica, MA 01862-2844 | 2018-08-03 |
| 1417372608 | Brooke Anderson | Massage Therapist | 1631 River Rd, Eugene, OR 97404-2640 | 2014-02-25 |
| 1992033849 | Brooke S Anderson | Pediatrics | 610 Winnmark Dr, Roswell, GA 30076-5524 | 2009-12-03 |
| 1235345141 | Brooke Anderson | Specialist/Technologist | 1822 Breck Ave, Casper, WY 82601-5003 | 2007-05-15 |
| 1316418056 | Brooke Lynn Anderson | Behavior Technician | 1050 Fulton Ave Ste 235, Sacramento, CA 95825-4299 | 2018-12-06 |
| 1528536513 | Brooke Adrianne Anderson | Occupational Therapist | 2222 N Lincoln Ave, York, NE 68467-1030 | 2018-11-07 |
| 1649704131 | Brooke Anderson | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2017-04-12 |
| 1245771633 | Brooke Anderson | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2017-03-17 |
| 1932653771 | Brooke Anderson | Behavioral Analyst | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 | 2016-08-10 |
| 1770916322 | Brooke Marie Anderson | Marriage & Family Therapist | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2013-08-19 |
| Street Address |
6 E DIAMOND LAKE RD |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55419-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041683 | Bryan Ellingson | Social Worker | 6 E Diamond Lake Rd, Minneapolis, MN 55419-1923 | 2020-10-19 |
| 1063987972 | Byron Almen | Counselor | 6 E Diamond Lake Rd, Minneapolis, MN 55419-1923 | 2018-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1972020329 | Michael Daly | Marriage & Family Therapist | 5413 Nicollet Ave # 152, Minneapolis, MN 55419 | 2017-08-26 |
| 1518343946 | Samantha Ruth Praus | Counselor | Wellness Minneapolis, 4450 Nicollet Ave. S., Minneapolis, MN 55419 | 2015-08-07 |
| 1679919104 | Morgan Supinski | Occupational Therapist | 5748 Clinton Ave, Minneapolis, MN 55419 | 2013-05-10 |
| 1720358021 | Jeremy Zellmann | Pharmacist | 6001 Mogan Avenue South, Minneapolis, MN 55419 | 2012-01-04 |
| 1003108895 | Nicollet Dental | Dentist | 6101 Nicollet Ave. So., Minneapolis, MN 55419 | 2011-05-11 |
| 1194056812 | Laura J. Johnson | Social Worker | 410 E 48th St Ste 2, Minneapolis, MN 55419 | 2010-01-20 |
| 1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
| 1619118775 | Dr. David Mckay, Dds LLC | Dentist | 4800 Nicollet Ave. S., Minneapolis, MN 55419 | 2009-03-18 |
| 1750553343 | Alex B Lanning | Chiropractor | 5415 Nicollet Ave, Minneapolis, MN 55419 | 2008-03-24 |
| Find all providers in zip 55419 | ||||
| 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 | 55419 |
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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.