DIRECT CARE AND TREATMENT - FORENSIC SERVICES (NPI# 1154869832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154869832 |
| Entity Type | Organization |
| Organization Name | DIRECT CARE AND TREATMENT - FORENSIC SERVICES |
| Practice Address |
100 Freeman Dr Saint Peter MN 56082-3504 |
| Practice Telephone | 5079852000 |
| Mailing Telephone | 5079335013 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | DR. SONIYA HIRACHAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5079852832 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
100 FREEMAN DR |
| City | SAINT PETER |
| State | MN |
| Zip Code | 56082-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011528 | Andrea Richard | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-07-29 |
| 1457977373 | Robert James Haight | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-06-17 |
| 1881219723 | Jodi Lynn Meerbeek | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-06-16 |
| 1316584832 | Jessica Rae Waldron | Marriage & Family Therapist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-12-03 |
| 1992349153 | Joseph Samuel Owen | Registered Nurse | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-10-31 |
| 1639632219 | Maria B Sargeant | Nurse Practitioner | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-04-10 |
| 1922568641 | Michelle Marie Dick | Social Worker | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-03-20 |
| 1871065151 | Julie Renee Nordquist | Nurse Practitioner | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2018-12-26 |
| 1841781226 | Elizabeth Ann Marti | Counselor | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2018-05-22 |
| 1356851372 | Kyle Yerks | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276079 | Ashley Jaspers | Nurse Practitioner | 1900 N. Sunrise Drive, Suite #200, St. Peter, MN 56082 | 2017-03-14 |
| 1841730876 | Go Therapy Inc | Speech-Language Pathologist | 830 Sunrise Dr Ste B, Saint Peter, MN 56082 | 2017-02-23 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1235578519 | Mikkel Dean Haugen | Dentist | 402 Sunrise Drive, St Peter, MN 56082 | 2013-06-19 |
| 1104163849 | House of Hope, Inc. | Community/Behavioral Health | 201 West Park Row, Suite B, Saint Peter, MN 56082 | 2013-01-15 |
| 1851579700 | Laura J. Hulsebus | Chiropractor | 206 West Walnut St, St Peter, MN 56082 | 2008-02-02 |
| 1588857072 | Michael Joseph Lange | Psychologist | 1703 Csah 15, St. Peter, MN 56082 | 2007-08-20 |
| 1235290420 | Andrew D. Lundquist | Podiatrist | 1901 Oid Minnesota Ave, Mankato Clinic @ Daniel's Health Center, St. Peter, MN 56082 | 2006-12-12 |
| 1962517037 | Mary A Snyder | Dentist | 202 W Walnut, St Peter, MN 56082 | 2006-08-20 |
| 1124041504 | Diane Ruth Bruder | Nurse Practitioner | 2000 Klein Street, St. Peter, MN 56082 | 2006-07-25 |
| Find all providers in zip 56082 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861046427 | Cambia Hills of East Bethel LLC | Psychiatric Residential Treatment Facility | 900 189th Ave Ne, East Bethel, MN 55011-9542 | 2019-07-31 |
| 1992268726 | North Homes Inc. | Psychiatric Residential Treatment Facility | 1920 River Rd, Grand Rapids, MN 55744-4048 | 2019-04-09 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1619233459 | Arrowhead House | Psychiatric Residential Treatment Facility | 2217 South St, Duluth, MN 55812-2132 | 2012-04-05 |
| 1669544987 | Kidspeace Mesabi Academy Inc | Psychiatric Residential Treatment Facility | 200 Wanless Street, Buhl, MN 55713 | 2006-11-14 |
| 1073543344 | Rhsc | Psychiatric Residential Treatment Facility | 1491 Sherburne Ave, Saint Paul, MN 55104 | 2006-07-03 |
| 1538603683 | Paragon Residential Treatment for Youth LLC | Psychiatric Residential Treatment Facility | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2016-12-08 |
| 1619375235 | Linda Maxine Nielson | Psychiatric Residential Treatment Facility | 1593 Hewitt Ave, Saint Paul, MN 55104-1221 | 2014-12-13 |
| 1730354549 | Minnesota Sex Offender Program | Psychiatric Residential Treatment Facility | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-04-23 |
| 1639355902 | State of Minnesota | Psychiatric Residential Treatment Facility | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-01-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETER |
| Zip Code | 56082 |
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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.