MCL PSYCHOLOGICAL, INC.


Address: 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305
Phone: 9522404959

MCL PSYCHOLOGICAL, INC. (NPI# 1548767072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548767072
Entity Type Organization
Organization Name MCL PSYCHOLOGICAL, INC.
Other Organization Name ALECIA VIERA
Practice Address 10505 Wayzata Blvd Ste 200
Minnetonka
MN 55305
Mailing Address 10505 Wayzata Blvd Ste 200
Minnetonka
MN 55305-1502
Practice Telephone 9522404959
Practice Fax Number 7635465754
Mailing Telephone 9522404959
Mailing Fax Number 7635465754
Enumeration Date 2018-04-11
Last Update Date 2018-05-25
Authorized Official Name ALECIA VIERA (OWNER)
Authorized Official Telephone 9522404959
Authorized Official Credential PSYD, LP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP5612 MN Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Alecia Viera Doing Business As Name - Organization

Office Location

Street Address 10505 WAYZATA BLVD STE 200
City MINNETONKA
State MN
Zip Code 55305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033267612 Alecia Ann Viera Psychologist 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1502 2007-01-08
1174075006 Nancy Foster Phd, LLC Psychologist 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1502 2016-10-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255948584 Sober Living Connection Substance Abuse Rehabilitation Facility 11115 Minnetonka Blvd, Hopkins, MN 55305 2020-09-30
1649739103 Gabriel Douglas Orem Occupational Therapist 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 2019-03-14
1750863106 Andrea Haglin Counselor 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 2018-09-02
1770934499 Acme Transportation Private Vehicle 11356 Cedar Pointe Dr, Minnetonka, MN 55305 2016-06-23
1841641743 Laine Cecily Hartwell Epp Counselor 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 2016-06-22
1407217367 Larissa Vados Acupuncturist 11654 Wayzata Blvd, Minnetonka, MN 55305 2016-03-18
1548658982 Irene Grudsky Contractor 10550 Wayzata Blvd, Minnetonka, MN 55305 2015-01-08
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1235472275 Katherine Thistle Rivard Dietitian, Registered 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 2013-03-28
1558633784 Vickie Lynn Schaefer Social Worker 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 2012-02-03
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639603541 Minnetonka Counseling LLC Psychologist 12301 Whitewater Dr # 30, Minnetonka, MN 55343-9447 2017-04-18
1144554858 Clare N Buntrock Psychologist 10275 Wayzata Blvd, #270, Minnetonka, MN 55305-1659 2009-09-28
1033267612 Alecia Ann Viera Psychologist 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1502 2007-01-08
1407926363 Rita A Benak Psychologist 11900 Wayzata Blvd Ste 200, Minnetonka, MN 55305-2053 2006-11-08
1720171382 Peggy Susan Maki Psychologist 601 Carlson Pkwy, Suite 1050, Minnetonka, MN 55305-5203 2006-10-02
1548370190 Johanna Lee Lamm Psychologist 11812 Wayzata Blvd, Suite 212, Minnetonka, MN 55305-2012 2006-08-30
1821106279 Sara Elvabogestad Schilplin Psychologist 12301 Whitewater Dr, Ste 101, Minnetonka, MN 55343-9447 2006-08-27
1386757300 Jacquelyn K. Wiersma Psychologist 3931 Auburn Dr, Minnetonka, MN 55305-5196 2006-08-16
1053325175 Susan Kay Powers Olson Psychologist 17508 Minnetonka Blvd, Minnetonka, MN 55345-1007 2006-07-27
1114974201 The Terrace Group Ltd Psychologist 10580 Wayzata Blvd, Ste 150, Minnetonka, MN 55305-1657 2006-05-27
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Competitor

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City MINNETONKA
Zip Code 55305

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Dataset Information

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.

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