ANDREA ANDERSON PSYD LP LLC (NPI# 1720593841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720593841 |
| Entity Type | Organization |
| Organization Name | ANDREA ANDERSON PSYD LP LLC |
| Practice Address |
4660 Slater Rd Ste 245-c Eagan MN 55122-4047 |
| Mailing Address |
1826 Walnut Ln Eagan MN 55122-2434 |
| Practice Telephone | 6129637027 |
| Mailing Telephone | 6129637027 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Authorized Official Name | ANDREA ANDERSON (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 6129637027 |
| Authorized Official Credential | PSYD LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5161 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1659604874 | 05 |
| Street Address |
4660 SLATER RD STE 245-C |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902305444 | Clifford James Buhl | Psychologist | 890 Wescott Trl Apt 201, Eagan, MN 55123-2299 | 2018-02-11 |
| 1851806855 | Solin Psychological & Consultation Services LLC | Psychologist | 4660 Slater Rd Ste 245c, Eagan, MN 55122-4047 | 2017-12-12 |
| 1912345976 | Katie Olson | Psychologist | 646 Hillside Dr, Eagan, MN 55121-2353 | 2013-06-11 |
| 1376833756 | John Timothy O'regan | Psychologist | 4159 Strawberry Ln, Eagan, MN 55123-1429 | 2011-04-19 |
| 1225195522 | Ronald Leslie Hoschouer | Psychologist | 3080 Lexington Ave S Ste 107, Eagan, MN 55121-2207 | 2007-01-03 |
| 1922196344 | Phyllis Mary Kulhanek | Psychologist | 1803 E Bluestone Dr, Eagan, MN 55122-2952 | 2006-10-11 |
| 1649378019 | Roger A. Olsen Psy.d.,l.p., LLC | Psychologist | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | 2006-09-20 |
| 1245712439 | Daniel Charles Rebek | Psychologist | 3460 Washington Dr Ste 200, Eagan, MN 55122-4302 | 2018-09-04 |
| 1205274990 | Annie Elizabeth Emanuel | Psychologist | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | 2013-06-05 |
| 1477859437 | South Suburban Psychological & Counseling Services, Pllc | Psychologist | 4635 Nicols Rd, Suite 200, Eagan, MN 55122-3337 | 2011-02-08 |
| Find all providers in EAGAN | ||||
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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.