RAMSEY COUNTY MENTAL HEALTH CLINIC IDDT (NPI# 1154750016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154750016 |
| Entity Type | Organization |
| Organization Name | RAMSEY COUNTY MENTAL HEALTH CLINIC IDDT |
| Practice Address |
1919 University Ave W Ste 200 Saint Paul MN 55104-3453 |
| Mailing Address |
1919 University Ave W Ste 200 Saint Paul MN 55104-3435 |
| Practice Telephone | 6512667999 |
| Mailing Telephone | 6512667999 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | JULIE DUNCAN (MANAGER) |
| Authorized Official Telephone | 6512667999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1065750 | MN | Ambulatory Health Care Facilities |
| Street Address |
1919 UNIVERSITY AVE W STE 200 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811901093 | Donna Johnson | Psychologist | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2006-07-27 |
| 1841806924 | Danny Ray Hicks Jr. | Counselor | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2020-09-23 |
| 1447880364 | Garrett Thomas Dahl | Social Worker | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2020-01-20 |
| 1467096966 | Emily Margaret Ratzmann | Registered Nurse | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2019-10-29 |
| 1275073439 | Merrie Haskins | Counselor | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2017-03-06 |
| 1376911362 | Jennifer Joy Kortgard | Counselor | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2015-09-08 |
| 1356732721 | Andrew Samelian | Counselor | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2015-02-06 |
| 1912396490 | Holli Lynn Engelhart | Social Worker | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2015-01-21 |
| 1043617962 | Thomas Nguyen | Psychologist | 1919 University Ave W Ste 200, Saint Paul, MN 55104 | 2014-11-20 |
| 1720496516 | Shawn Mason | Counselor | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2014-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788755 | Cazares Professional Therapy | Clinic/Center | 166 Farrington St, Saint Paul, MN 55102-2104 | 2020-07-24 |
| 1427611318 | Provision Mental Health Services LLC | Clinic/Center | 962 University Ave W Ste 101, Saint Paul, MN 55104-4703 | 2019-04-17 |
| 1184189714 | Success Psychological Services Pllc | Clinic/Center | 2239 Carter Ave # 202, Saint Paul, MN 55108-1638 | 2019-02-07 |
| 1932663101 | Alliance for Individual Development Inc | Clinic/Center | 1955 University Ave W Ste 213, Saint Paul, MN 55104-3592 | 2019-01-22 |
| 1932629078 | Independent Healthcare Resources, LLC. | Clinic/Center | 393 Dunlap St N Ste 820, Saint Paul, MN 55104-4343 | 2017-06-20 |
| 1386196673 | Loud Body Sound Mind, LLC | Clinic/Center | 1025 Selby Ave Ste 101, Saint Paul, MN 55104-6533 | 2016-11-02 |
| 1306392683 | Truman Group, LLC | Clinic/Center | 241 Cleveland Avenue S, Saint Paul, MN 55105-1208 | 2016-08-28 |
| 1518352681 | Truman Consulting, LLC | Clinic/Center | 241 Cleveland Ave S Ste 1a, Saint Paul, MN 55105-1255 | 2015-04-05 |
| 1811163025 | Laurie A. Dunn, Ph.d., LLC | Clinic/Center | 348 Prior Ave N Ste 104, Saint Paul, MN 55104-5188 | 2008-05-07 |
| 1841389798 | Project Pathfinder Inc. | Clinic/Center | 570 Asbury St Ste 300, Saint Paul, MN 55104-1851 | 2006-10-11 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on RAMSEY COUNTY MENTAL HEALTH CLINIC IDDT.
| 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.