DR. MARIETTA MUME HOOGS (NPI# 1497019475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497019475 |
| Entity Type | Individual |
| Full Name | DR. MARIETTA MUME HOOGS |
| Credential | PHD |
| Practice Address |
501 E Nicollet Blvd Ste 100 Burnsville MN 55337-6772 |
| Practice Telephone | 9524358516 |
| Practice Fax Number | 7633024336 |
| Mailing Telephone | 9524358516 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | LP5639 | MN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | 071008806 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2180 Pfingsten Rd Ste 2000, Glenview, IL 600261339 | 8475034384 | |
| 3400 W 66th St Ste 150, Edina, MN 554352109 | 9529207200 | 7633024234 |
| 49 S Waukegan Rd Ste 200, Deerfield, IL 600155204 | 8475034384 |
| Street Address |
501 E NICOLLET BLVD STE 100 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942247986 | Rajiv Kumar Aggarwal | Psychiatry & Neurology | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337 | 2006-05-31 |
| 1518509652 | Melissa Charron | Physician Assistant | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2019-10-10 |
| 1346643830 | Jeannette Marie Breimhorst | Specialist/Technologist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2014-09-29 |
| 1639463185 | Stuart Bergman-bock | Psychiatry & Neurology | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2011-06-01 |
| 1811225899 | Donald Altenburg | Physician Assistant | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337 | 2009-12-02 |
| 1225297492 | Evan M Williams | Psychiatry & Neurology | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2008-06-03 |
| 1598955213 | Jody Lee Bloom | Physical Therapy Assistant | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2007-07-30 |
| 1972675940 | Charles R Barta | Specialist/Technologist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2006-11-15 |
| 1376567222 | Quoc Ai Nguyen | Physical Therapist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2006-07-26 |
| 1215958160 | Karen Lawrence Guba | Physical Therapist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2006-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302228 | Jsr Neuropsychological Services Pllc | Clinical Neuropsychologist | 3209 W 76th St Ste 207, Edina, MN 55435-5246 | 2020-10-09 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1013557057 | Erik De Water | Clinical Neuropsychologist | 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 | 2020-01-07 |
| 1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
| 1285118687 | Chimei M Lee | Clinical Neuropsychologist | 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 | 2018-09-20 |
| 1861990012 | Susan Mcpherson Phd Abpp Lp LLC | Clinical Neuropsychologist | 6550 York Ave S Ste 419, Edina, MN 55435-2335 | 2018-01-23 |
| 1609399153 | Sheryl Jayne Pleiss | Clinical Neuropsychologist | 6640 Shady Oak Rd Ste 375, Eden Prairie, MN 55344-7834 | 2017-07-17 |
| 1598204869 | Adam Piccolino | Clinical Neuropsychologist | 11800 Singletree Ln Ste 203, Eden Prairie, MN 55344-5397 | 2017-02-19 |
| 1770832875 | Allen Stock | Clinical Neuropsychologist | 3320 Walnut Grove Ln N, Plymouth, MN 55447-1026 | 2012-09-05 |
| 1962750026 | Paul Marshall LLC | Clinical Neuropsychologist | 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 | 2012-08-21 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.