RONALD O AMDAHL


Address: 2118 Campus Dr Se, Rochester, MN 55904-4744
Phone: 5072813508

RONALD O AMDAHL (NPI# 1609914845) 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) 1609914845
Entity Type Individual
Full Name RONALD O AMDAHL
Credential M.S.
Practice Address 2118 Campus Dr Se
Rochester
MN 55904-4744
Mailing Address 66 E 3rd St
201
Winona
MN 55987-3478
Practice Telephone 5072813508
Practice Fax Number 5075369317
Mailing Telephone 5074527292
Mailing Fax Number 5074579887
Enumeration Date 2007-02-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP1188 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BCBS-MN 239P2AM 01

Office Location

Street Address 2118 CAMPUS DR SE
City ROCHESTER
State MN
Zip Code 55904-4744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982835062 Family & Children's Center Clinic/Center 2118 Campus Dr Se, Ste. 100, Rochester, MN 55904-6492 2009-08-06
1790934123 Kathryn Lee Hollenhorst Psychologist 2118 Campus Dr Se, Rochester, MN 55904-4744 2008-09-10
1366623522 Family & Children's Center, Inc Community/Behavioral Health 2118 Campus Dr Se, Ste 100, Rochester, MN 55904-6492 2007-11-16
1245360619 Family & Children's Center, Inc Clinic/Center 2118 Campus Dr Se, Ste 100, Rochester, MN 55904-6492 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558912303 Reliable Medical Supply LLC Durable Medical Equipment & Medical Supplies 1200 Eastgate Drive S.e., Rochester, MN 55904 2019-09-24
1952954992 Jane Yaakni Hopaki Midwife 1224 Eastgate Dr Se, Rochester, MN 55904 2019-07-18
1851896187 Hamdi A Ali Pediatrics 26 Mayo Park Dr Se, Rochester, MN 55904 2018-03-28
1255847059 Brooke Maleszewski Nurse Practitioner 821 3rd Ave Se Ste 15, Rochester, MN 55904 2017-12-17
1699215988 Maximus Language Resources Interpreter 1775 3rd Ave Se, Rochester, MN 55904 2017-03-06
1215484803 Kylene Starr Allen Social Worker 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 2016-09-01
1013384627 Breathe Easy Medical Supplies Inc. Durable Medical Equipment & Medical Supplies 40 16th St. Sw Suite G, Rochester, MN 55904 2015-08-31
1932473105 Michelle Lee Sather Counselor 343 Woodlake Drive Se, Rochester, MN 55904 2012-03-05
1538453022 Amy M Carey Social Worker 40 16th Street Sw, Suite D, Rochester, MN 55904 2011-06-02
1396059895 Lisa Marie Bingham Optometrist 111 S. Broadway, Rochester, MN 55904 2010-07-27
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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
1346883873 Denise Pine Psychologist 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 2019-10-28
1205305729 Christopher Corona Psychologist 100 Linden Oaks, Suite 102, Rochester, NY 14625 2018-11-14
1275017550 Leah Rothschild Psychologist 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 2018-09-21
1639658693 Garry Linsis Spink Jr. Psychologist 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 2018-08-10
1942798129 Rachel Marie Rodorigo Psychologist 900 W University Dr Ste B3, Rochester, MI 48307-1817 2018-04-24
1740799162 Douglas Andrew Raynor Psychologist 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 2017-09-28
1356861884 Lauren P Wadsworth Psychologist 21 Goodway Dr, Rochester, NY 14623-3029 2017-06-26
1881120947 Dayton Walsh Psychologist 190 Goodman St S, Rochester, NY 14607-2651 2017-05-11
1770019713 Brenna Cavanaugh Psychologist 200 East River Rd., Rochester, NY 14623 2017-05-11
1275068470 Tara Marie Augenstein Psychologist University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 2017-04-25
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Competitor

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City ROCHESTER
Zip Code 55904

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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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