MR. MICHAEL HITZELBERGER (NPI# 1710053301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710053301 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL HITZELBERGER |
| Credential | MA LP |
| Practice Address |
425 Coon Rapids Blvd #200 Nscc Coon Rapids MN 58433 |
| Practice Telephone | 7637843008 |
| Practice Fax Number | 7637843647 |
| Mailing Telephone | 7637843008 |
| Mailing Fax Number | 7637843647 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3538 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 437709500 | 05 |
| Street Address |
425 COON RAPIDS BLVD #200 NSCC |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 58433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053491860 | Edgeley Ambulance Service | Ambulance | 108 7th St, Edgeley, ND 58433 | 2006-10-16 |
| 1144242637 | Linda C Levee | Nurse Practitioner | 506 2 St W, Edgeley, ND 58433 | 2006-07-24 |
| 1518991207 | Meritcare Medical Group | Internal Medicine | 506 2nd Street, Edgeley, ND 58433 | 2006-07-10 |
| 1073811766 | Lane M Nelson | Pharmacist | 509 Main St, Edgeley, ND 58433 | 2011-03-04 |
| 1245302900 | Anderson Drug Inc | Pharmacy | 509 Main St, Edgeley, ND 58433 | 2006-11-15 |
| 1992881205 | Sherri Ann Armitage | Chiropractor | 509 2nd St W, Edgeley, ND 58433-0074 | 2006-10-29 |
| 1548566698 | Churchill Pharmacy Inc | Pharmacy | 509 Main St, Edgeley, ND 58433-7119 | 2011-02-08 |
| 1174938773 | Manor St Joseph | Nursing Facility/Intermediate Care Facility | 404 4th Ave, Edgeley, ND 58433-7417 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1598363707 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 290, Coon Rapids, MN 55433-2593 | 2020-10-12 |
| 1770194417 | Vayda Mental Health Collaborative Pllc | Psychologist | 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-5869 | 2020-08-16 |
| 1245857655 | Paul Yaeger | Dentist | 3570 River Rapids Dr Nw, Coon Rapids, MN 55448-4100 | 2020-07-01 |
| 1659998086 | Allison Elizabeth Hentschell | Genetic Counselor, MS | 11850 Blackfoot St Nw Ste 230, Coon Rapids, MN 55433-2593 | 2020-07-01 |
| 1548886476 | Diane Mary Skramstad | Respite Care | 539 123rd Ave Nw, Coon Rapids, MN 55448-2617 | 2020-06-16 |
| 1699394775 | Brianna Walvoort | Physical Therapist | 4050 Coon Rapids Blvd Nw # Mr 51680, Coon Rapids, MN 55433-2522 | 2020-04-09 |
| 1649807272 | Nathan Daniel Myers | Marriage & Family Therapist | 2612 Carlson Dr Nw, Coon Rapids, MN 55433-1807 | 2020-03-24 |
| 1699301309 | Sam G Totimeh | Registered Nurse | 11299 Robinson Dr Nw Apt 203, Coon Rapids, MN 55433-7473 | 2020-03-14 |
| 1225663040 | One Family Home Care LLC | Home Health | 10900 Xeon St Nw, Coon Rapids, MN 55433-7802 | 2020-03-12 |
| Find all providers in COON RAPIDS | ||||
| 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 |
|---|---|---|---|---|
| 1639232804 | Nancy Marie Cusack | Psychologist | 425 Coon Rapids Blvd Nw Ste 200, Suite 100, Coon Rapids, MN 55433-2753 | 2006-12-19 |
| 1518033109 | Julie L Weekley | Psychologist | 425 Coon Rapids Blvd # 200, Nscc, Coon Rapids, MN 55433 | 2006-11-27 |
| 1225102973 | Linda Jean Hawkins | Psychologist | 551 Coon Rapids Blvd, 150, Coon Rapids, MN 55433-5520 | 2006-11-17 |
| 1871674978 | Robert Cornell Van Siclen | Psychologist | 277 Coon Rapids Blvd Nw, Suite 308, Coon Rapids, MN 55433-5843 | 2006-10-17 |
| 1093777591 | Catherine Jane Luitjens | Psychologist | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 | 2006-04-03 |
| 1477537678 | Luann Lengas Heim | Psychologist | 1930 Coon Rapids Boulevard, Family Life Mental Health Center, Coon Rapids, MN 55433 | 2005-12-01 |
| 1093230088 | Jarett Edward Roseberry | Psychologist | 11850 Blackfoot St Nw Ste 400, Coon Rapids, MN 55433-2776 | 2017-08-10 |
| 1225379381 | Linda Rae Deters | Psychologist | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2013-03-13 |
| 1023361292 | Rand Ollen Adams | Psychologist | 1930 Coon Rapids Blvd Nw, Family Life Mental Health, Coon Rapids, MN 55433-4708 | 2012-10-24 |
| 1962687624 | Andrea Loveless | Psychologist | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2007-12-31 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 58433 |
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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.