DR. MATTHEW FREDERICK GUNDLACH (NPI# 1295898666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295898666 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW FREDERICK GUNDLACH |
| Credential | EDD |
| Practice Address |
12450 Wayzata Blvd Suite 205 Minnetonka MN 55305-1978 |
| Practice Telephone | 9525450110 |
| Mailing Telephone | 9525450110 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP1055 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144718222 | Matthew Gundlach | Physical Therapist | 2500 W Strub Rd Ste 150, Sandusky, OH 44870 | 2018-04-25 |
| Street Address |
12450 WAYZATA BLVD SUITE 205 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072234 | Laura Ellen Hart | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215 Ridge Plaza, Minnetonka, MN 55305-1978 | 2005-09-12 |
| 1184788614 | Swanson Family Dentristry Pa | Dentist | 12450 Wayzata Blvd, Ste 214, Minnetonka, MN 55305-1934 | 2006-12-20 |
| 1215008156 | Pamela Kaye Mcnallan | Physician Assistant | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-11-13 |
| 1386745966 | Heidi Louise Driscoll | Marriage & Family Therapist | 12450 Wayzata Blvd, Suite 201, Minnetonka, MN 55305-1978 | 2006-09-26 |
| 1356450860 | Debra J Peterson | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-08-29 |
| 1619994696 | Advancements In Allergy and Asthma Care Ltd | Clinic/Center | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-07-16 |
| 1093732984 | Michael Ross Wexler | Allergy & Immunology | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-07-16 |
| 1245212802 | James Timothy Swanson | Dentist | 12450 Wayzata Blvd, 214, Minnetonka, MN 55305-1934 | 2005-11-18 |
| 1154303717 | Justin Skjei Swanson | Dentist | 12450 Wayzata Blvd, 214, Minnetonka, MN 55305-1934 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164560934 | Roberta Lynn Gerling | Psychologist | 16204 Highway 7, Minnetonka, MN 55345-3405 | 2007-02-02 |
| 1255496527 | Richard David Kofsky | Psychologist | 9701 Sandra Ln, Minnetonka, MN 55305-4632 | 2006-12-27 |
| 1679544266 | Natalie Levin | Psychologist | 10201 Wayzata Blvd, Minnetonka, MN 55305-5507 | 2006-01-31 |
| 1417468513 | Laura Jean Brinkmeier | Psychologist | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2017-10-16 |
| 1396070025 | Sarah Marie Rehman | Psychologist | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2009-10-14 |
| 1720156219 | Candice Jean Nadler | Psychologist | 13100 Wayzata Blvd, Minnetonka, MN 55305-1802 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
| 1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
| 1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
| 1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
| 1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on DR. MATTHEW FREDERICK GUNDLACH.
| 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.