DR. IRIS H CORNELIUS (NPI# 1093990798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093990798 |
| Entity Type | Individual |
| Full Name | DR. IRIS H CORNELIUS |
| Credential | PHD, LP |
| Practice Address |
7401 Metro Blvd Suite 400 Edina MN 55439-3041 |
| Practice Telephone | 9529201912 |
| Practice Fax Number | 6516981088 |
| Mailing Telephone | 9529201912 |
| Mailing Fax Number | 6516981088 |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP0479 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 920547100 | 05 | |
| BLUECROSS/B LUE SHIELD | 46791BU | 01 |
| Street Address |
7401 METRO BLVD SUITE 400 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| 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 |
|---|---|---|---|---|
| 1043704679 | Erin Ayala | Psychologist | 7401 Metro Blvd Ste 510, Edina, MN 55439-3033 | 2018-06-18 |
| 1538559810 | Krista Peterson | Psychologist | 6600 France Ave S Ste 230, Edina, MN 55435-1810 | 2015-01-26 |
| 1760899363 | Jl Norman, Inc | Psychologist | 7241 Ohms Ln Ste 145, Edina, MN 55439-2136 | 2014-07-15 |
| 1104158195 | Jan Hoistad | Psychologist | 4433 Dunham Dr, Edina, MN 55435-4139 | 2010-02-02 |
| 1396935219 | Michele Frances Dodds | Psychologist | 3948 West 50th St, #207, Edina, MN 55424 | 2007-07-26 |
| 1649485111 | Minneapolis Southwest Mental Health Clinic, Limited | Psychologist | 4010 W 65th St Ste 101, Edina, MN 55435-1724 | 2007-05-10 |
| 1184840092 | Loren Antone Hooyman | Psychologist | 3919 W 44th St, Suite 200, Edina, MN 55424-1032 | 2007-04-18 |
| 1114045481 | Denise Hanna Bisanz | Psychologist | 3919 W 44th, #200, Edina, MN 55424-1032 | 2007-03-26 |
| 1437282860 | Applied Behavioral Consultants, Inc. | Psychologist | 5275 Edina Industrial Blvd, #103, Edina, MN 55439-2918 | 2007-03-14 |
| 1427197300 | Janet M Gagne | Psychologist | 4301 W 62nd St, Edina, MN 55424-1954 | 2007-02-06 |
| Find all providers in EDINA | ||||
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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.