RICHARD O ANDERSON (NPI# 1215014592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215014592 |
| Entity Type | Individual |
| Full Name | RICHARD O ANDERSON |
| Credential | MD |
| Practice Address |
3100 W Lake St Suite 210 Minneapolis MN 55416-4527 |
| Practice Telephone | 6129256033 |
| Practice Fax Number | 6129258496 |
| Mailing Telephone | 6129256033 |
| Mailing Fax Number | 6129258496 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
15279 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS | HP15795 | 01 |
| MN | UBH | 1552260 | 01 |
| MN | 285583600 | 05 | |
| MN | BCBS | 321G7AN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275996159 | Richard Anderson | Social Worker | 10 Offutt Cyn, Silver City, NM 88061-8740 | 2016-03-30 |
| 1205210911 | Richard Anderson | Dentist | 840 Nissan Dr., Smyrna, TN 37167 | 2015-07-13 |
| 1437568342 | Richard Anderson Jr. | Pharmacist | 5004 West Esplanade Ave, Metairie, LA 70006 | 2014-08-05 |
| 1801145354 | Richard M Anderson | Psychologist | 21 Windsor On The Marsh, Savannah, GA 31419-2409 | 2012-08-30 |
| 1801188693 | Richard Warren Anderson | Anesthesiology | 28 1/2 Myrtle St, Apartment 3, Boston, MA 02114-4531 | 2011-05-11 |
| 1750512430 | Richard L Anderson | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2009-07-29 |
| 1982877114 | Richard Anderson | Counselor | 15805 Bayliss, Detroit, MI 48238 | 2008-04-09 |
| 1669659066 | Richard E. Anderson | Internal Medicine | 185 Greenwood Rd, Napa, CA 94558-6270 | 2008-01-28 |
| 1871715110 | Richard Anderson | Social Worker | Rt 16 & Goodrich Falls Rd, Glen, NH 03838 | 2007-05-03 |
| 1376762427 | Richard C. Anderson | Dentist | 208 Se Third Street, Cochran, GA 31014-0494 | 2007-04-25 |
| Street Address |
3100 W LAKE ST SUITE 210 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957101 | Ronald James Frederick Jr. | Psychologist | 3100 W Lake St, Suite 107, Minneapolis, MN 55416-4527 | 2005-07-26 |
| 1235665761 | Nicole Massey | Marriage & Family Therapist | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2017-05-03 |
| 1760923940 | Lynn Erika Penney | Counselor | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2017-03-20 |
| 1629526405 | Ariel Brinson | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-09-21 |
| 1952855918 | Roberta Ann Seelen-wolf | Registered Nurse | 3100 W Lake St, 210, Minneapolis, MN 55416-4527 | 2016-08-08 |
| 1619420817 | Julie Blatz | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-07-25 |
| 1750736708 | Kiana Joyner | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-04-27 |
| 1427415082 | Natalie Ann Tobeck | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-01-26 |
| 1598132953 | Amanda J Ardolf | Counselor | 3100 W Lake St, Ste 210, Minneapolis, MN 55416-4527 | 2015-09-01 |
| 1578930293 | Leeann Catherine Lewis | Social Worker | 3100 W Lake St, Ste 210, Minneapolis, MN 55416-4527 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277677 | Emily Tonkin, LLC | Psychiatry & Neurology | 825 Nicollet Mall Ste 1246, Minneapolis, MN 55402-2702 | 2020-08-28 |
| 1770120933 | Dr. Lisa Etherapy | Psychiatry & Neurology | 3539 Douglas Dr N, Minneapolis, MN 55422-2415 | 2019-12-06 |
| 1225673411 | Osetohamen Elizabeth Agene | Psychiatry & Neurology | 5701 Shingle Creek Pkwy Ste 115, Minneapolis, MN 55430-2485 | 2019-11-12 |
| 1295198539 | Daniel Janiczak | Psychiatry & Neurology | 701 Park Ave. B5 118, Hencepin County Medical Center Department of Psychiatry, Minneapolis, MN 55415 | 2016-04-04 |
| 1235554387 | William Spring Md LLC | Psychiatry & Neurology | 4826 Chicago Ave Ste 208, Minneapolis, MN 55417-1063 | 2014-02-26 |
| 1649607482 | David Joseph Bond | Psychiatry & Neurology | 2450 Riverside Avenue Se Psychiatry Clinic, University of Minnesota Medical Centre, Fairview, Minneapolis, MN 55454 | 2013-10-10 |
| 1467713610 | Akinkunmi O Oladiran | Psychiatry & Neurology | 800 E 28th St # Mr 12405, Minneapolis, MN 55407-3723 | 2012-06-05 |
| 1528387784 | Stamatis Andreas Zeris | Psychiatry & Neurology | 701 Park Ave # S6, Minneapolis, MN 55415-1623 | 2010-05-26 |
| 1821233321 | Deborah Eve Pollak | Psychiatry & Neurology | 152 Bank St Se, Minneapolis, MN 55414-1033 | 2008-12-11 |
| 1154589257 | Michael Condi Ct Moore | Psychiatry & Neurology | 825 Nicollet Mall Ste 1950, Minneapolis, MN 55402-2707 | 2008-05-27 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
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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.