POLLY SUSAN NIEDERLOH (NPI# 1487865549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487865549 |
| Entity Type | Individual |
| Full Name | POLLY SUSAN NIEDERLOH |
| Credential | L.P. |
| Practice Address |
1330 Jersey Ave S St Louis Park MN 55426-2237 |
| Practice Telephone | 9525935484 |
| Mailing Telephone | 9525935484 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3130 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1330 JERSEY AVE S |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| 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 |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1023559465 | Jennifer Jane Anderson | Psychologist | 2901 Princeton Ave, St Louis Park, MN 55416-1956 | 2017-03-18 |
| 1992130694 | Mary Colleen Morrissette | Psychologist | 3340 Republic Ave Ste 120, St Louis Park, MN 55426-4189 | 2013-09-12 |
| 1609128057 | Kathleen Anne Johnson Debow | Psychologist | 4500 Park Glen Rd Ste 450, St Louis Park, MN 55416-5190 | 2012-10-10 |
| 1801028972 | Psychotherapy & Healing Associates, Ltd | Psychologist | 8085 Wayzata Boulevard, Suite Number 203, St Louis Park, MN 55426 | 2009-08-21 |
| 1083843593 | Angela Rae Nelson | Psychologist | 1650 W End Blvd, Suite 100, St Louis Park, MN 55416-5367 | 2009-07-06 |
| 1124254503 | Wendy Anne-massmann Sweeney | Psychologist | 2820 Princeton Ave, St Louis Park, MN 55416-1955 | 2009-05-30 |
| 1922147040 | Linda Jane Solie | Psychologist | 5775 Wayzeta Blvd, Suite 700, St Louis Park, MN 55416-1233 | 2007-02-05 |
| 1558412924 | Mary Elizabeth Grosscup | Psychologist | 5353 Gamble Dr Ste 395, St Louis Park, MN 55416-1510 | 2007-01-14 |
| 1104976331 | Mary Ann Ver Steey Halbert | Psychologist | 1660 So Highway 100, Ste 332, St Louis Park, MN 55416 | 2007-01-11 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
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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.