SDR PSYCHIATRY LLC (NPI# 1215374954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215374954 |
| Entity Type | Organization |
| Organization Name | SDR PSYCHIATRY LLC |
| Practice Address |
5200 Willson Rd #405 Edina MN 55424-1332 |
| Mailing Address |
Po Box 24062 3948 W 49 1/2 Street Edina MN 55424-0062 |
| Practice Telephone | 6123109960 |
| Practice Fax Number | 6128722205 |
| Mailing Telephone | 6128721500 |
| Mailing Fax Number | 6128722205 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | SILVIA DIVINETZ ROMERO (PSYCHIATRIST) |
| Authorized Official Telephone | 6128721500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
24545 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
5200 WILLSON RD #405 |
| City | EDINA |
| State | MN |
| Zip Code | 55424-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780668459 | Jane M Kilgriff | Psychologist | 5200 Willson Rd, #309, Edina, MN 55424-1332 | 2005-12-06 |
| 1801332044 | Solveig Hultgren | Counselor | 5200 Willson Rd, Suite 445, Edina, MN 55424-1332 | 2017-01-11 |
| 1376915868 | Naomi Scott | Psychologist | 5200 Willson Rd, #445, Edina, MN 55424-1332 | 2015-10-23 |
| 1295070514 | Kiel B Walters | Social Worker | 5200 Willson Rd, 210, Edina, MN 55424-1332 | 2012-11-28 |
| 1730451923 | Daniel Legerski, Psy.d., Lp, LLC | Psychologist | 5200 Willson Rd, Suite 205, Edina, MN 55424-1332 | 2012-02-02 |
| 1346518859 | Catherine Ann Macdonald | Marriage & Family Therapist | 5200 Willson Rd, Suite 205, Edina, MN 55424-1332 | 2011-12-12 |
| 1912285776 | Carol Jean Woodbury | Marriage & Family Therapist | 5200 Willson Rd, Suite 309, Edina, MN 55424-1332 | 2011-07-28 |
| 1821397803 | Lindamaachllc | Clinic/Center | 5200 Willson Rd, Suite 405, Edina, MN 55424-1332 | 2011-03-16 |
| 1245495969 | Linda Lee Maach | Internal Medicine | 5200 Willson Rd, 405 Edina Executive Plaza, Edina, MN 55424-1332 | 2008-07-22 |
| 1528245032 | Elizabeth S Cashin | Counselor | 5200 Willson Rd, Ste 407, Edina, MN 55424-1332 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824084 | Jamie Bradley | Midwife | 6240 Peacedale Avenue, Edina, MN 55424 | 2018-03-16 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1396935219 | Michele Frances Dodds | Psychologist | 3948 West 50th St, #207, Edina, MN 55424 | 2007-07-26 |
| 1245452168 | Margo Ellen Arens | Physical Therapist | 6025 St. John's Ave., Edina, MN 55424 | 2007-05-02 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1821199852 | Michael T Kratz Dds Pa | Dentist | 3939 W 50th Street, #208, Edina, MN 55424 | 2006-09-25 |
| 1649747114 | Elizabeth Davin | Physician Assistant | 6905 York Ave S, Edina, MN 55424 | 2018-11-01 |
| 1245606326 | Forefront Dermatology, S.c. | Dermatology | 3916 W 50th St, Edina, MN 55424 | 2015-08-12 |
| 1316346950 | Brooke A Moss | Physician Assistant | 4100 W 50th St, Edina, MN 55424 | 2014-08-20 |
| Find all providers in zip 55424 | ||||
| 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 |
|---|---|---|---|---|
| 1912537721 | Psy-fi Tms | Psychiatry & Neurology | 6504 Creek Dr, Edina, MN 55439-1208 | 2020-01-21 |
| 1023376209 | Paul Jan Melichar | Psychiatry & Neurology | 5512 Brook Drive, Edina, MN 55439-1349 | 2012-04-25 |
| 1588951719 | Dokmak Psychiatry Pllc | Psychiatry & Neurology | 6750 France Ave S # 340, Edina, MN 55435-1903 | 2011-07-08 |
| 1669777835 | James S. Guerrero Pllc | Psychiatry & Neurology | 5151 Edina Industrial Blvd, Ste 110, Edina, MN 55439-3013 | 2011-01-20 |
| 1407031032 | Mark Koller | Psychiatry & Neurology | 3400 W 66th St Ste 375, Edina, MN 55435-2168 | 2008-01-02 |
| 1346395878 | Heidi Lynn Arnold | Psychiatry & Neurology | 6545 France Ave. S., Suite 302, Edina, MN 55435 | 2007-01-24 |
| 1194882563 | William Baillie Hosfield | Psychiatry & Neurology | 5200 Willson Rd Ste 150, Edina, MN 55424-1300 | 2007-01-03 |
| 1518035880 | Abraham Verjovsky | Psychiatry & Neurology | 6800 France Ave S., Suite 520, Edina, MN 55435 | 2006-12-02 |
| 1013018258 | Sujit Ram Varma | Psychiatry & Neurology | 4444 W 76th St Ste 400, Edina, MN 55435-5178 | 2006-09-26 |
| 1801814959 | Helga Berit Midelfort | Psychiatry & Neurology | 5200 Willson Rd Ste 407, Edina, MN 55424-1345 | 2006-07-17 |
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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.