MYHEALTH FOR TEENS & YOUNG ADULTS (NPI# 1386951317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386951317 |
| Entity Type | Organization |
| Organization Name | MYHEALTH FOR TEENS & YOUNG ADULTS |
| Other Organization Name | WEST SUBURBAN TEEN CLINIC |
| Practice Address |
15 Eighth Ave. S. Hopkins MN 55343-7667 |
| Practice Telephone | 9524743251 |
| Practice Fax Number | 9527670815 |
| Mailing Telephone | 9524743251 |
| Mailing Fax Number | 9527670815 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | MEGAN LICHTY (DIRECTOR OF ADMIN. & OPS.) |
| Authorized Official Telephone | 9527670928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUECROSS BLUESHIELD | OAF89WE | 01 |
| MN | UNITED HEALTHCARE | 984772 | 01 |
| MN | MINNESOTA HEALTH CARE PROGRAM | 438964600 | 01 |
| Other Name | Type Code |
|---|---|
| West Suburban Teen Clinic | Former Legal Business Name - Organization |
| Street Address |
15 EIGHTH AVE. S. |
| City | HOPKINS |
| State | MN |
| Zip Code | 55343-7667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902176183 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 9023 Garners Ferry Rd, Hopkins, SC 29061-9540 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556434 | Geacom, Inc. | Clinic/Center | 394 S Lake Ave Ste 700, Duluth, MN 55802-2342 | 2020-07-24 |
| 1497318828 | Housing With Care | Clinic/Center | 8200 Humboldt Ave S Ste 218, Bloomington, MN 55431-1432 | 2019-04-22 |
| 1396219259 | Kayd Foundation | Clinic/Center | 1821 University Ave W Ste 227, Saint Paul, MN 55104-2895 | 2019-01-14 |
| 1740798008 | Ace Medical Center, LLC | Clinic/Center | 10259 Englewood Dr, Eden Prairie, MN 55347-4623 | 2018-01-19 |
| 1770020489 | Centracare Clinic | Clinic/Center | 2001 Stockinger Drive, Suite 101, St Cloud, MN 56303 | 2017-01-20 |
| 1134574346 | Global International LLC | Clinic/Center | 1305 Larc Industrial Blvd, Burnsville, MN 55337-1411 | 2016-04-26 |
| 1437524998 | Amni Transportation Inc | Clinic/Center | 200 Nathan Ln N, 261, Plymouth, MN 55441-6461 | 2015-12-09 |
| 1831329564 | Phoenix Mental Health, P.l.c. | Clinic/Center | 2400 Blaisdell Ave Ste B2, Minneapolis, MN 55404-3394 | 2009-07-15 |
| 1194845883 | American Indian Community Development Corp | Clinic/Center | 1600 East 19th Street, Minneapolis, MN 55404 | 2007-03-29 |
| 1548340813 | Cedar Riverside People's Center | Clinic/Center | 425 20th Avenue South, Minneapolis, MN 55454-4400 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
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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.