REBECCA JORGENSEN (NPI# 1710337944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710337944 |
| Entity Type | Individual |
| Full Name | REBECCA JORGENSEN |
| Credential | PSY.D |
| Practice Address |
470 Highway 96 W Suite 280 Shoreview MN 55126-1996 |
| Practice Telephone | 6512003788 |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750605135 | Rebecca Lynn Jorgensen | Behavioral Analyst | 1855 Van Allen Loop, Auburndale, FL 33823-2771 | 2010-03-15 |
| 1932579760 | Rebecca Lynn Jorgensen | Occupational Therapist | 1627 Woods Ct, Hood River, OR 97031-2915 | 2015-10-06 |
| 1043687023 | Rebecca Jorgensen | Nurse Practitioner | 5409 Vern Holmes Dr, Stevens Point, WI 54482-8853 | 2015-08-26 |
| Street Address |
470 HIGHWAY 96 W SUITE 280 |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-1996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487641726 | James William Templeton | Social Worker | 470 Highway 96 W, Suite 280, Shoreview, MN 55126-1996 | 2005-10-03 |
| 1669811295 | Vaagenes Chiropractic, LLC | Clinic/Center | 470 Highway 96 W, Suite 160, Shoreview, MN 55126-1996 | 2013-06-17 |
| 1023308392 | Boulos Dental Care, P.C. | Exclusive Provider Organization | 470 Highway 96 W, Suite 200, Shoreview, MN 55126-1996 | 2011-04-07 |
| 1841452398 | Harbor Place Dental Associates, Ltd | Dentist | 470 Highway 96 W, Suite 200, Shoreview, MN 55126-1996 | 2008-06-26 |
| 1144386293 | Anna Sokolofski-tracy | Social Worker | 470 Highway 96 W, Suite 280, Shoreview, MN 55126-1996 | 2006-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| 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 |
|---|---|---|---|---|
| 1558735779 | Shoreview Mental Health Center, LLC | Psychologist | 5985 Rice Creek Pkwy Ste 201, Shoreview, MN 55126-5037 | 2015-11-27 |
| 1588734461 | Rita C Stanoch | Psychologist | 1030 W County Rd E, Shoreview, MN 55126 | 2006-11-08 |
| 1073619664 | Thomas Lawrence Alberg | Psychologist | 470 W Highway 96, Suite 280, Shoreview, MN 55126 | 2006-09-15 |
| 1427081413 | Vaughn Robert Jefferson Jr. | Psychologist | 1030 West County Road E, Ste 260, Shoreview, MN 55126 | 2006-07-10 |
| 1558338673 | Midwest Clinical Psychologist | Psychologist | 5760 Royal Oaks Dr, Shoreview, MN 55126-8490 | 2006-03-07 |
| 1144228776 | Woodcrest Counseling, Inc | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2005-07-08 |
| 1669039764 | Matthew Hall | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2019-05-23 |
| 1164635975 | John Alan Stoltzfus | Psychologist | 521 Tanglewood Drive, Shoreview, MN 55126 | 2007-05-08 |
| 1982766598 | Elissa Beth Abrams | Psychologist | 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126-8049 | 2006-12-14 |
| 1679649602 | Thomas Michael Graske | Psychologist | 521 Tanglewood Drive, Shoreview, MN 55126-2016 | 2006-11-28 |
| Find all providers in SHOREVIEW | ||||
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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.