JEROME KROLL (NPI# 1235147729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235147729 |
| Entity Type | Individual |
| Full Name | JEROME KROLL |
| Credential | MD |
| Practice Address |
2001 Bloomington Avenue S Minneapolis MN 55404-3074 |
| Practice Telephone | 6123013433 |
| Practice Fax Number | 6126274205 |
| Mailing Telephone | 6123013433 |
| Mailing Fax Number | 6126274205 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
23056 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2001 BLOOMINGTON AVENUE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477561991 | Mary Jordan | Nurse Practitioner | 2001 Bloomington Avenue S, Community-university Health Care Center, Minneapolis, MN 55404-3074 | 2006-08-03 |
| 1881820074 | Ryan Kelly | Internal Medicine | 2001 Bloomington Avenue S, Minneapolis, MN 55404-3074 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| 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 | 55404 |
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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.