DR. JULIA E KIDWELL (NPI# 1558646836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558646836 |
| Entity Type | Individual |
| Full Name | DR. JULIA E KIDWELL |
| Credential | PH.D. |
| Practice Address |
900 Long Lake Rd Suite #320 New Brighton MN 55112-6428 |
| Practice Telephone | 6514829361 |
| Practice Fax Number | 6514829888 |
| Mailing Telephone | 6514829361 |
| Mailing Fax Number | 6514829888 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP 5403 | MN | Behavioral Health & Social Service Providers |
| Street Address |
900 LONG LAKE RD SUITE #320 |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841200698 | Loren Paul Hubin | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2006-08-08 |
| 1780206888 | Stacy Smith Donley | Marriage & Family Therapist | 900 Long Lake Rd, New Brighton, MN 55112-6428 | 2020-05-12 |
| 1225580897 | Jordan Lindh, Psy.d., Lp L.L.C. | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2016-10-31 |
| 1831566991 | Laura Stephan | Psychologist | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6428 | 2015-08-25 |
| 1760866271 | Jessica Davis | Psychologist | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6428 | 2015-07-14 |
| 1902232549 | Jordan Lindh | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2013-09-14 |
| 1003947102 | Preferred Choice Pharmacy | Pharmacy | 900 Long Lake Rd, Ste 150, New Brighton, MN 55112-6428 | 2007-03-08 |
| 1033276753 | Charles Richmond | Marriage & Family Therapist | 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, MN 55112-6428 | 2007-01-02 |
| 1083778708 | Medical Care Services, Pa | Family Medicine | 900 Long Lake Rd, Ste 106, New Brighton, MN 55112-6414 | 2006-12-20 |
| 1669576278 | Arden Woods Psychological Services Pa | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| 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 |
|---|---|---|---|---|
| 1407983133 | John R. Henrich | Psychologist | 516 Mission House Lane, New Brighton, MN 55112-2751 | 2007-02-28 |
| 1417040122 | Mental Health Associates, P.a. | Psychologist | 2475 15th St Nw Ste F, New Brighton, MN 55112-5606 | 2006-10-02 |
| 1831566991 | Laura Stephan | Psychologist | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6428 | 2015-08-25 |
| 1710364740 | Gabriel Watson | Psychologist | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2015-04-28 |
| 1033354154 | Kimberlee Ann Comfort | Psychologist | 1405 Silver Lake Rd Nw, New Brighton, MN 55112-9301 | 2008-12-03 |
| 1487832937 | Duane Hugh Thompson | Psychologist | 2475 15th St Nw, Suite F, New Brighton, MN 55112-5605 | 2008-02-07 |
| 1811916117 | Glenn Allen Werner | Psychologist | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | 2006-07-18 |
| 1235157397 | Caroline Nicole Weiss | Psychologist | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | 2006-07-17 |
| 1285659946 | Nanette Lousie Brown | Psychologist | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | 2006-07-13 |
| 1366475352 | Jana Louise Reinhart | Psychologist | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | 2006-07-10 |
| Find all providers in NEW BRIGHTON | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
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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.