DR. JUDY TIESEL (NPI# 1467664359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467664359 |
| Entity Type | Individual |
| Full Name | DR. JUDY TIESEL |
| Credential | PH.D |
| Practice Address |
7400 Metro Blvd Suite 413 Edina MN 55439-2316 |
| Practice Telephone | 9528356950 |
| Practice Fax Number | 9528350072 |
| Mailing Telephone | 9528356950 |
| Mailing Fax Number | 9528350072 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TF0000X |
Psychologist Specialization: Family |
3280 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 870 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 6299691 | 05 | |
| MN | BLUE CROSS-BLUESHIELD | 8H911T1 | 01 |
| Street Address |
7400 METRO BLVD SUITE 413 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780786681 | Brenda Becher-ingwalson | Physical Therapist | 7400 Metro Blvd, Suite 115, Edina, MN 55439-2315 | 2006-09-01 |
| 1851957799 | Emma Sperr | Behavior Technician | 7400 Metro Blvd, Edina, MN 55439-2316 | 2019-05-16 |
| 1235602111 | William J Kramer | Behavior Technician | 7400 Metro Blvd, Edina, MN 55439-2316 | 2019-01-03 |
| 1770001372 | Emily Oberlander | Counselor | 7400 Metro Blvd, #216, Edina, MN 55407 | 2017-09-03 |
| 1447607346 | Katie Elise Kopan | Marriage & Family Therapist | 7400 Metro Blvd, 413, Edina, MN 55439-2316 | 2016-05-20 |
| 1063868248 | Robert Frederick Bartlett II | Counselor | 7400 Metro Blvd, Edina, MN 55439-2316 | 2016-05-06 |
| 1790156503 | Scandinavian Homecare LLC | In Home Supportive Care | 7400 Metro Blvd, Suite # 155, Edina, MN 55439-2316 | 2015-10-20 |
| 1225424112 | Physician Systems Inc | Clinic/Center | 7400 Metro Blvd, Suite 100 #c, Edina, MN 55439-2316 | 2015-04-08 |
| 1447526736 | Heidi Huebscher | Massage Therapist | 7400 Metro Blvd, Suite #360, Edina, MN 55439-2316 | 2012-03-30 |
| 1326354432 | Cabot Psychological Services, Pllc | Community/Behavioral Health | 7400 Metro Blvd, Suite 216, Edina, MN 55439-2316 | 2010-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912052952 | Family Therapy Resources Pa | Psychologist | 7400 Metro Blvd, Suite 413, Edina, MN 55439-2316 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627520 | Everest Psychological Services | Psychologist | 2233 Hamline Ave N Ste 500, Roseville, MN 55113-5003 | 2020-04-13 |
| 1629213541 | Chad Thomas Lorenz | Psychologist | 1772 Steiger Lake Ln Ste 220, Victoria, MN 55386-7723 | 2008-12-05 |
| 1871749036 | Meritcare 1219 | Psychologist | 1219 S Washington Ave, Detroit Lakes, MN 56501-3905 | 2008-08-07 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| 1184197634 | Tracee C Robinson Foote-adams | Psychologist | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431-1432 | 2019-01-08 |
| 1093221129 | Terri E Bly | Psychologist | 1150 Montreal Ave Ste 107, Saint Paul, MN 55116-2393 | 2017-12-27 |
| 1124541644 | Lisa Jennet Trump | Psychologist | 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 | 2017-07-18 |
| 1427299023 | Susan De Vries | Psychologist | 570 Asbury St, Suite 310, Saint Paul, MN 55104-1849 | 2009-03-12 |
| 1952579385 | Sheila Thomas, M.a.l.p., Pllc | Psychologist | 821 Raymond Ave, Suite 270, Saint Paul, MN 55114-1503 | 2008-02-19 |
| 1730360207 | Lisa Marie Johnson | Psychologist | 2550 University Ave W, Suite 310n, Saint Paul, MN 55114-1052 | 2007-11-26 |
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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.