ADDICTIONS AND STRESS CLINICS LTD (NPI# 1376820118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376820118 |
| Entity Type | Organization |
| Organization Name | ADDICTIONS AND STRESS CLINICS LTD |
| Other Organization Name | ASC PSYCHOLOGICAL SERVICES |
| Practice Address |
12 Civic Center Plz Suite 1615 Mankato MN 56001-7783 |
| Mailing Address |
12 Civic Center Plz Suite 1615 Mankato MN 56001-7781 |
| Practice Telephone | 5073454679 |
| Practice Fax Number | 5073458685 |
| Mailing Telephone | 5073454679 |
| Mailing Fax Number | 5073458685 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | DR. GEORGE KOMARIDIS (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5073454679 |
| Authorized Official Credential | PH.D., LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CC00325 | MN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | LP4863 | MN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP4863 | MN | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | LP1673 | MN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| ASC PSYCHOLOGICAL SERVICES | Doing Business As Name - Organization |
| Street Address |
12 CIVIC CENTER PLZ SUITE 1615 |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-7783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124297213 | George V Komaridis | Psychologist | 12 Civic Center Plz, Suite 2090, Mankato, MN 56001-7781 | 2008-02-22 |
| 1275083784 | Laura L. Benesch | Social Worker | 12 Civic Center Plz, 1615, Mankato, MN 56001-7781 | 2016-10-07 |
| 1396198057 | James Curtis Murphy | Counselor | 12 Civic Center Plz, Suite 2116, Mankato, MN 56001-7781 | 2016-07-18 |
| 1083040612 | Timothy K Benesch | Marriage & Family Therapist | 12 Civic Center Plz, Suite 1615, Mankato, MN 56001-7781 | 2013-09-14 |
| 1609200690 | Julene D Nolan | Psychologist | 12 Civic Center Plz, Suite 1615, Mankato, MN 56001-7781 | 2013-08-26 |
| 1457617185 | Julie C Melzer | Counselor | 12 Civic Center Plz, Suite 1615, Mankato, MN 56001-7781 | 2012-04-06 |
| 1992085674 | Addictions & Stress Clinic | Community/Behavioral Health | 12 Civic Center Plz, Suite 2090, Mankato, MN 56001-7781 | 2011-08-25 |
| 1265720049 | Jean L Zenk | Counselor | 12 Civic Center Plz, Suite 2090, Mankato, MN 56001-7781 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912308545 | Lindsay Murn | Psychologist | 530 N Riverfront Dr Ste 230, Mankato, MN 56001-3740 | 2014-09-15 |
| 1245413137 | Katie L Wojtalewicz | Psychologist | 1400 Madison Ave Ste 352, Mankato, MN 56001-4458 | 2007-12-13 |
| 1699892745 | Mary Doyle Nelson | Psychologist | 703 Owatonna St, Mankato, MN 56001-2118 | 2007-03-23 |
| 1922153931 | Jill Ann Peterson | Psychologist | 520 N Broad St # 1, Mankato, MN 56001-3421 | 2007-01-23 |
| 1275683401 | Carol Ann Lowinske | Psychologist | 160 Waynesborough Way, Mankato, MN 56001 | 2007-01-11 |
| 1346304169 | Dawn Marie Ulrich-spitzer | Psychologist | 209 S Broad St, Mankato, MN 56001 | 2006-12-19 |
| 1114003092 | Thomas James Tieffenbacher | Psychologist | 801 N. 2nd Street, Suite 102, Mankato, MN 56001-3373 | 2006-10-31 |
| 1043393382 | Janice Mary Boyum | Psychologist | 710 South 2nd St., Mankato, MN 56001-3857 | 2006-10-23 |
| 1780779744 | Barbara Jean Kuhlman | Psychologist | 710 S 2nd St, Mankato, MN 56001-3810 | 2006-10-04 |
| 1972601953 | Sylvia Elaine Ashley-cameron | Psychologist | 220 E Main Street, Suite 204 Mankato Child Psychology Clinic Pa, Mankato, MN 56001 | 2006-09-21 |
| Find all providers in MANKATO | ||||
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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.