DARYN R. ROGERS, PHD, LP, LLC (NPI# 1316505803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316505803 |
| Entity Type | Organization |
| Organization Name | DARYN R. ROGERS, PHD, LP, LLC |
| Practice Address |
4570 W 77th St Ste 235 Edina MN 55435-5092 |
| Practice Telephone | 9522099200 |
| Practice Fax Number | 9522099201 |
| Mailing Telephone | 9522099200 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | DR. DARYN R ROGERS (PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 9522099200 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4570 W 77TH ST STE 235 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-5092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538310685 | Daryn Rogers | Psychologist | 4570 W 77th St Ste 235, Edina, MN 55435 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1891819686 | Janet Anderson Counseling | Clinic/Center | 7400 Metro Blvd Ste 413, Edina, MN 55439-2326 | 2007-03-18 |
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| 1295979664 | Twin Cities Behavioral Health, PC | Clinic/Center | 7300 Metro Blvd, Suite 635, Edina, MN 55439-2303 | 2009-04-28 |
| 1750301040 | Ted Lobby, LLC | Clinic/Center | 6600 France Ave S, # 472, Edina, MN 55435-1805 | 2006-07-20 |
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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.