UNIVERSITY OF MINNESOTA PHYSICIANS (NPI# 1710592837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710592837 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF MINNESOTA PHYSICIANS |
Practice Address |
5775 Wayzata Blvd Ste 255 Minneapolis MN 55416-1275 |
Practice Telephone | 9525254500 |
Practice Fax Number | 9525251560 |
Mailing Telephone | 9525254500 |
Mailing Fax Number | 9525251560 |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-15 |
Authorized Official Name | NATHAN KOHLRUSCH (MANAGER, CREDENTIALING/PROVIDER ENR) |
Authorized Official Telephone | 6128840834 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
UMPhysicians Psychiatry Clinic Navigate Program | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124274527 | University of Minnesota Physicians | Clinic/Center | 901 Second St S, Suite A, Minneapolis, MN 55415 | 2008-08-18 |
1144368531 | University of Minnesota Physicians | Clinic/Center | 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275 | 2007-02-01 |
1558408161 | University of Minnesota Physicians | Clinic/Center | 2020 East 28th Street, Smiley's Clinic, Minneapolis, MN 55407 | 2007-01-31 |
1164569679 | University of Minnesota Physicians | Clinic/Center | 1300 2nd Street South Ste 180, Center for Sexual Health, Minneapolis, MN 55454 | 2007-01-31 |
1477598118 | University of Minnesota Physicians | Clinic/Center | 420 Delaware St Se Mmc 126, University of Minnesota Physicians, Minneapolis, MN 55455-0341 | 2006-06-17 |
1467850206 | University of Minnesota Physicians | Clinical Medical Laboratory | 1200 Washington Ave S, Minneapolis, MN 55415-1295 | 2014-12-10 |
1730586819 | University of Minnesota Physicians | Clinic/Center | 814 South 3rd St, Minneapolis, MN 55415 | 2014-12-04 |
1922407980 | University of Minnesota Physicians | Counselor | 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 | 2014-08-15 |
1952546061 | University of Minnesota Physicians | Clinic/Center | 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 | 2008-12-04 |
1073650677 | University of Minnesota Physicians | Clinic/Center | 580 Rice Street, Bethesda Clinic, Saint Paul, MN 55103 | 2007-01-31 |
Street Address |
5775 WAYZATA BLVD STE 255 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55416-1275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952535155 | Alik Sunil Widge | Psychiatry & Neurology | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416 | 2009-05-04 |
1790997393 | Sonya Grace Wang | Psychiatry & Neurology | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 | 2007-05-04 |
1336268572 | Laura Jane Follett-larson | Physician Assistant | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
Find all providers in zip 55416 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962000646 | Life Care Health Services LLC | Clinic/Center | 1808 Riverside Ave Ste 211, Minneapolis, MN 55454-1121 | 2020-10-14 |
1366000135 | Both Sides Counseling LLC | Clinic/Center | 711 W Lake St Ste 402, Minneapolis, MN 55408-2954 | 2019-06-05 |
1649736513 | Brighter Possibilities Child and Family Counseling LLC | Clinic/Center | 1007 W Broadway Ave # 200, Minneapolis, MN 55411-2503 | 2019-02-15 |
1124525142 | Dan Christensen-cowan Licsw, L.L.C. | Clinic/Center | 3507 Lyndale Ave. South, Minneapolis, MN 55408-4159 | 2018-04-06 |
1255690384 | Hope Alliance Health | Clinic/Center | 951 Lowry Ave Ne Apt 201, Minneapolis, MN 55418-1912 | 2012-05-09 |
1417181793 | Al-wafaa Center for Human Services | Clinic/Center | 3315 N 2nd St., Minneapolis, MN 55412-2659 | 2009-05-14 |
1154583425 | Raye Mcphillips Eyrich, Ph.d., L.p., LLC | Clinic/Center | 825 Nicollet Mall Ste 612, Minneapolis, MN 55402-2612 | 2008-06-27 |
1689280190 | Al-baraka Mental Health | Clinic/Center | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-20 |
1679114144 | Priomh Healing Services Inc | Clinic/Center | 2104 Park Ave, Minneapolis, MN 55404-6607 | 2019-10-04 |
1265087373 | Lyuba Megits, Md LLC | Clinic/Center | 3108 Hennepin Ave, Minneapolis, MN 55408-2619 | 2019-08-06 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55416 |
Please comment or provide details below to improve the information on UNIVERSITY OF MINNESOTA PHYSICIANS.
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.