DR. IAN HALBERG (NPI# 1346874583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346874583 |
| Entity Type | Individual |
| Full Name | DR. IAN HALBERG |
| Credential | PH.D., LP |
| Practice Address |
2525 Chicago Ave Minneapolis MN 55404-4518 |
| Practice Telephone | 6128136647 |
| Mailing Telephone | 6128136647 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP6514 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2525 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611511 | William Francis Pomputius IIi | Pediatrics | 2525 Chicago Ave, Mailstop 17-318, Minneapolis, MN 55404-4518 | 2005-06-30 |
| 1174124259 | Anna-wesleigh Riggs Akins | Registered Nurse | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-11-04 |
| 1255930202 | Gershom Aaron Tam | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-10-21 |
| 1275140477 | Jessica Bloom | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-30 |
| 1538775762 | Ahmed Elazab | Pharmacist | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-22 |
| 1275149957 | Jennifer Siegmann | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-18 |
| 1710592530 | Mildred Denise Kiawoin | Registered Nurse | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-09 |
| 1992310700 | Coltyn Tyler Johnson | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-09 |
| 1619581394 | Children's Health Care | Ambulance | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-01 |
| 1447861067 | Charlotte Minnema | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-17 |
| Find all providers in the same location | ||||
| 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 | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405202 | Q Collective, LLC | Psychologist | 3413 Wilshire Pl Ne, Minneapolis, MN 55418-1447 | 2019-03-09 |
| 1043714199 | Julianna Sapienza | Psychologist | 2545 Chicago Ave Ste 217, Minneapolis, MN 55404-4556 | 2018-03-22 |
| 1942758701 | Dana Hoehn | Psychologist | 4636 Lyndale Ave S, Lower Unit, Minneapolis, MN 55419-5302 | 2016-09-21 |
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1063518306 | Gay Rosenthal | Psychologist | 15 Groveland Terrace, Suite 305, Minneapolis, MN 55403 | 2006-09-15 |
| 1568457927 | Sharon L Berry | Psychologist | 2525 Chicago Ave South, Childrens Speciality Clinic-psychological Services Mpls, Minneapolis, MN 55404 | 2005-09-13 |
| 1932714524 | Manju Elizabeth Alexander | Psychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-09-10 |
| 1902441546 | Oasis Child and Family Services | Psychologist | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-11-07 |
| 1720509862 | Kate Joza Zelic | Psychologist | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2017-06-29 |
| 1124569066 | Adriana Marie Youssef | Psychologist | 1315 E 24th St Ste 1, Minneapolis, MN 55404-3959 | 2017-03-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on DR. IAN HALBERG.
| 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.