ANTHONY ODLAND (NPI# 1669853099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669853099 |
| Entity Type | Individual |
| Full Name | ANTHONY ODLAND |
| Credential | PHD |
| Practice Address |
4225 Golden Valley Rd Golden Valley MN 55422-4215 |
| Practice Telephone | 7635880661 |
| Mailing Telephone | 7633028215 |
| Mailing Fax Number | 7633024346 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 511 | ND | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | LP5884 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Sanford Neurosciences Clinic, 701 1st Ave S, Fargo, ND 581034544 | 7012342000 |
| Street Address |
4225 GOLDEN VALLEY RD |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656417 | Praful M. Kelkar | Specialist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2005-08-17 |
| 1952701989 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2014-08-27 |
| 1144662347 | Devri Noelle Lybeck | Physical Therapist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2013-07-29 |
| 1275893943 | Andrea Catherine Mierau | Physical Therapist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2012-05-29 |
| 1114202744 | Melissa Castro | Clinical Neuropsychologist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2011-10-14 |
| 1629375142 | Jill Ramsay Honnoll | Physical Therapist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2011-02-18 |
| 1952616690 | Akram Hussain Dastagir | Internal Medicine | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2010-08-18 |
| 1851610182 | Rachel Fine | Physical Medicine & Rehabilitation | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2010-05-26 |
| 1225271646 | Jessica Lauren Stulc | Psychiatry & Neurology | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2009-04-15 |
| 1255597134 | Carol Jean Roden | Physical Therapy Assistant | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2008-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| 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 |
|---|---|---|---|---|
| 1710963988 | Gunther & Associates, P.a. | Clinical Neuropsychologist | 8085 Wayzata Blvd, Ste. 216, Golden Valley, MN 55426-1453 | 2005-12-20 |
| 1114202744 | Melissa Castro | Clinical Neuropsychologist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2011-10-14 |
| 1851440192 | Daniel Dossa | Clinical Neuropsychologist | 5851 Duluth St, Suite 113, Golden Valley, MN 55422-3946 | 2007-01-09 |
| 1093724049 | William Willard Pace | Clinical Neuropsychologist | 5851 Duluth St, Suite 113, Golden Valley, MN 55422-3946 | 2006-08-07 |
| 1740299106 | Northwest Psychology Consultants | Clinical Neuropsychologist | 5851 Duluth St, Suite 113, Golden Valley, MN 55422-3946 | 2006-08-05 |
| 1912925272 | Steven Francis Morgan | Clinical Neuropsychologist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2006-07-17 |
| 1992739247 | Minneapolis Clinic of Neurology, Ltd | Clinical Neuropsychologist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2006-07-11 |
| 1700831450 | Norman Jeffrey Cohen | Clinical Neuropsychologist | 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422-4298 | 2006-05-23 |
| 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 | GOLDEN VALLEY |
| Zip Code | 55422 |
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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.