DR. BRIAN KOVACH (NPI# 1578965398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578965398 |
| Entity Type | Individual |
| Full Name | DR. BRIAN KOVACH |
| Credential | PSY.D. |
| Practice Address |
480 Osborne Rd Ne Ste 260 Fridley MN 55432-2866 |
| Practice Telephone | 6323656397 |
| Mailing Telephone | 6323638007 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5799 | MN | Behavioral Health & Social Service Providers |
| Street Address |
480 OSBORNE RD NE STE 260 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801835103 | Joseph P Marnell | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-06-05 |
| 1710529003 | Amy Stignani | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2019-10-08 |
| 1811350515 | Taylor Atchison | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2016-03-30 |
| 1447673918 | Natalie Overmann | Nurse Practitioner | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2014-02-03 |
| 1205071248 | Mary S Forslund | Nurse Practitioner | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2008-12-04 |
| 1639362361 | Alfredo A Massa Succar | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2007-08-27 |
| 1750417168 | Brian Alan Palmer | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 | 2007-02-27 |
| 1811061377 | Robin M. Bixler | Psychiatry & Neurology | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-11-17 |
| 1396857975 | Misty Tu | Contractor | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-08-31 |
| 1598700528 | Allina Health System | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396841318 | Karen L King | Psychologist | 6401 University Ave Ne Suite 304, Bhsi LLC, Fridley, MN 55432-4344 | 2006-09-16 |
| 1710529003 | Amy Stignani | Psychologist | 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | 2019-10-08 |
| 1225593825 | Shannon Thomas Woulfe | Psychologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-07 |
| 1225377088 | Meghan Doris Miller | Psychologist | 480 Osborne Rd Ne, Suite 260 - Mr 48260, Fridley, MN 55432-2773 | 2013-02-13 |
| 1932408549 | Richard Allen Mclellan | Psychologist | 7260 University Ave Ne, #235, Fridley, MN 55432-3126 | 2011-03-22 |
| 1164506952 | Laura Sue Henson | Psychologist | 6401 University Ave Ne, Bhsi LLC Suite 304, Fridley, MN 55432-4344 | 2006-10-25 |
| 1992801955 | Joseph Michael Steger | Psychologist | 6401 University Ave Ne, Suite 304 Bhsi LLC, Fridley, MN 55432-4344 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
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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.