DR. LISA JENNET TRUMP (NPI# 1124541644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124541644 |
Entity Type | Individual |
Full Name | DR. LISA JENNET TRUMP |
Credential | PH.D., LMFT |
Practice Address |
219 Se Main St Ste 400 Minneapolis MN 55414-2151 |
Practice Telephone | 16128862524 |
Mailing Telephone | 16128862524 |
Enumeration Date | 2017-07-18 |
Last Update Date | 2017-07-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0000X |
Psychologist Specialization: Family |
3334 | MN | Behavioral Health & Social Service Providers |
Street Address |
219 SE MAIN ST STE 400 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55414-2151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073686655 | Susan Gustafson | Psychologist | 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 | 2006-11-15 |
1720611148 | Marie Diaz | Psychologist | 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 | 2020-02-13 |
1184108771 | Stephanie M Michaels | Psychologist | 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 | 2018-09-19 |
1265764641 | Matthew Johnson | Counselor | 219 Se Main St Ste 400, Minneapolis, MN 55414 | 2010-02-09 |
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 |
1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
Find all providers in zip 55414 |
Taxonomy Code | 103TF0000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255465803 | Douglas Carlton Williams | Psychologist | 1516 W Lake St, Suite 103, Minneapolis, MN 55408-2554 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922627520 | Everest Psychological Services | Psychologist | 2233 Hamline Ave N Ste 500, Roseville, MN 55113-5003 | 2020-04-13 |
1629213541 | Chad Thomas Lorenz | Psychologist | 1772 Steiger Lake Ln Ste 220, Victoria, MN 55386-7723 | 2008-12-05 |
1871749036 | Meritcare 1219 | Psychologist | 1219 S Washington Ave, Detroit Lakes, MN 56501-3905 | 2008-08-07 |
1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
1184197634 | Tracee C Robinson Foote-adams | Psychologist | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431-1432 | 2019-01-08 |
1093221129 | Terri E Bly | Psychologist | 1150 Montreal Ave Ste 107, Saint Paul, MN 55116-2393 | 2017-12-27 |
1427299023 | Susan De Vries | Psychologist | 570 Asbury St, Suite 310, Saint Paul, MN 55104-1849 | 2009-03-12 |
1952579385 | Sheila Thomas, M.a.l.p., Pllc | Psychologist | 821 Raymond Ave, Suite 270, Saint Paul, MN 55114-1503 | 2008-02-19 |
1730360207 | Lisa Marie Johnson | Psychologist | 2550 University Ave W, Suite 310n, Saint Paul, MN 55114-1052 | 2007-11-26 |
1366623324 | Christopher J Basten | Psychologist | 1206 W 96th St, Bloomington, MN 55431-2606 | 2007-11-19 |
Find all providers with the same taxonomy |
City | MINNEAPOLIS |
Zip Code | 55414 |
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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.