RANDALL LEE MORRIS-OSTROM (NPI# 1174891618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174891618 |
| Entity Type | Individual |
| Full Name | RANDALL LEE MORRIS-OSTROM |
| Credential | PSY.D., LP |
| Practice Address |
701 Decatur Ave N Ste 109 Golden Valley MN 55427-4363 |
| Practice Telephone | 7637462419 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP6179 | MN | Behavioral Health & Social Service Providers |
| Street Address |
701 DECATUR AVE N STE 109 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55427-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629046891 | Willilam F. Holland | Social Worker | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2006-03-14 |
| 1922651090 | Carissa Mehitabel Kaufman | Marriage & Family Therapist | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2019-07-18 |
| 1194377044 | Ann Teresa Strom | Social Worker | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2019-07-11 |
| 1487129359 | Jenna C Block | Social Worker | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2018-10-08 |
| 1972088391 | Robbie Deering | Marriage & Family Therapist | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2018-10-02 |
| 1023598547 | Lauren Vieaux | Counselor | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2018-08-14 |
| 1528545613 | Noelle Tollefson-schenck | Counselor | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2018-07-23 |
| 1801389911 | Katelyn E Nichols | Social Worker | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2018-06-13 |
| 1578055513 | Tristann Jamie Moren | Social Worker | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2018-06-05 |
| 1669979324 | Emily Ann Tibbetts | Social Worker | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467837922 | Anna Tierney Ph.d. L.p. LLC | Psychologist | 5101 Olson Memorial Highway, #400, Golden Valley, MN 55422 | 2015-07-27 |
| 1558765065 | Laura Smith | Psychologist | 4050 Olson Memorial Hwy Ste 195, Golden Valley, MN 55422-5345 | 2014-10-13 |
| 1184856593 | Kirsten L Burns | Psychologist | 1405 Lilac Dr N Ste 1501, Golden Valley, MN 55422-4535 | 2009-08-18 |
| 1699289926 | Woodworth Psychological Services, LLC | Psychologist | 1405 Lilac Dr N Ste 200, Golden Valley, MN 55422-4546 | 2017-11-22 |
| 1164966560 | Kendra Ann Woodworth | Psychologist | 1405 Lilac Dr N, Suite 200, Golden Valley, MN 55422-4535 | 2016-12-05 |
| 1346613478 | Christine Gibbon, Phd, Lp, LLC | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2015-11-11 |
| 1326397092 | Ryan David Hovis | Psychologist | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2012-09-10 |
| 1407123425 | Center for Psychological Consultation, P.a. | Psychologist | 8085 Wayzata Blvd, Suite 100b, Golden Valley, MN 55426-1453 | 2011-11-18 |
| 1780982223 | Kerry G. Aikman | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2011-03-08 |
| 1598921140 | Teri L Clayton | Psychologist | 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 | 2008-08-04 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55427 |
Please comment or provide details below to improve the information on RANDALL LEE MORRIS-OSTROM.
| 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.