NORTH PSYCHOLOGY CLINIC PA (NPI# 1265462212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265462212 |
| Entity Type | Organization |
| Organization Name | NORTH PSYCHOLOGY CLINIC PA |
| Practice Address |
6120 Earle Brown Drive Ste. 520 North Psychology Clinic P.a. Brooklyn Center MN 55430-2123 |
| Mailing Address |
6120 Earle Brown Drive Ste. 520 North Psychology Clinic Pa Brooklyn Center MN 55430-2123 |
| Practice Telephone | 7635310566 |
| Practice Fax Number | 7635310602 |
| Mailing Telephone | 7635310566 |
| Mailing Fax Number | 7635310602 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | DR. DIANE K. FELTON (PRESIDENT) |
| Authorized Official Telephone | 7635310566 |
| Authorized Official Credential | PH.D LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 30787NO | 01 |
| MN | 973518600 | 05 | |
| MN | BLUE CROSS BLUE SHIEL | 30786NO | 01 |
| Street Address |
6120 EARLE BROWN DRIVE STE. 520 NORTH PSYCHOLOGY CLINIC P.A. |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013139419 | Advanced Behavioral Health, Inc | Clinic/Center | 3300 County Road 10 Ste 500, Brooklyn Center, MN 55429 | 2007-05-03 |
| 1043363567 | Lds Family Services | Clinic/Center | 6120 Earle Brown Dr Ste 210, Brooklyn Center, MN 55430-4107 | 2007-01-19 |
| 1750300620 | The Counseling Clinic, Inc. | Clinic/Center | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2006-07-19 |
| 1356964332 | Village Support Therapy and Consulting LLC | Clinic/Center | 5424 Fremont Ave N, Brooklyn Center, MN 55430-3160 | 2020-05-25 |
| 1124593090 | Amal Healing Center | Clinic/Center | 3212 64th Ave N, Brooklyn Center, MN 55429-2237 | 2018-10-08 |
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|---|---|---|---|---|
| 1821698671 | St. Cloud Tms LLC | Clinic/Center | 925 E Superior St Ste 106, Duluth, MN 55802-2253 | 2020-10-30 |
| 1740880764 | East Metro Trauma and Recovery LLC | Clinic/Center | 4116 Hoffman Rd, White Bear Lake, MN 55110-3708 | 2020-10-28 |
| 1851991160 | Gratia Counseling & Consulting, LLC | Clinic/Center | 2705 Bunker Lake Blvd Nw Ste 103, Andover, MN 55304-3786 | 2020-10-27 |
| 1508465147 | Piece of Mind Counseling Services, Pllc | Clinic/Center | 1122 Bemidji Ave N, Bemidji, MN 56601-2833 | 2020-10-24 |
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1275149007 | Clarity Counseling Services Pllc | Clinic/Center | 521 W Highway 2, Cohasset, MN 55721-2300 | 2020-09-17 |
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1427662592 | Threesixty, LLC | Clinic/Center | 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 | 2020-09-04 |
| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
Please comment or provide details below to improve the information on NORTH PSYCHOLOGY CLINIC PA.
| 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.