MAIDA G GUNTHER


Address: 2828 Chicago Ave, Suite #200, Minneapolis, MN 55407-1544
Phone: 6128791000

MAIDA G GUNTHER (NPI# 1780660951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780660951
Entity Type Individual
Full Name MAIDA G GUNTHER
Credential PH.D.
Practice Address 2828 Chicago Ave
Suite #200
Minneapolis
MN 55407-1544
Practice Telephone 6128791000
Practice Fax Number 6128799116
Mailing Telephone 6128791000
Mailing Fax Number 6128799116
Enumeration Date 2005-12-20
Last Update Date 2013-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist LP3565 MN Behavioral Health & Social Service Providers
N 103T00000X Psychologist LP3565 MN Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
LP3565 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BLUE CROSS BLUE SHIELD 392G5GU 01
MN UNITED BEHAVIORAL HEALTH 61-78167 01
MN 482415600 05

Office Location

Street Address 2828 CHICAGO AVE
SUITE #200
City MINNEAPOLIS
State MN
Zip Code 55407-1544

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417951443 David P Dorn Psychiatry & Neurology 2828 Chicago Ave, Ste 200, Minneapolis, MN 55407-1544 2005-06-08
1093232167 Quest Diagnostics LLC Il Clinical Medical Laboratory 2828 Chicago Ave, Minneapolis, MN 55407-1544 2017-08-29
1477002632 Rasmita Shrestha Psychiatry & Neurology 2828 Chicago Ave, Suite 200, Minneapolis, MN 55407-1544 2016-09-29
1326413071 Marcie Singh Nurse Anesthetist, Certified Registered 2828 Chicago Ave, Suite 300, Minneapolis, MN 55407-1544 2015-12-07
1295108710 Denise A Post Nurse Practitioner 2828 Chicago Ave, Suite 200, Minneapolis, MN 55407-1544 2015-11-05
1902215064 Jessica Jayne Archbold Registered Nurse 2828 Chicago Ave, Minneapolis, MN 55407-1573 2014-08-03
1730432956 Amy Patton Misterek Nurse Practitioner 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 2012-10-25
1407101165 Amee Natvar Chandrabalan Psychiatry & Neurology 2828 Chicago Ave, Suite 200, Minneapolis, MN 55407-1320 2012-07-18
1992060891 Rano Faltas Anesthesiology 2828 Chicago Ave, Ste 300, Minneapolis, MN 55407-1544 2012-07-07
1184980823 Stephanie Marie Brakel Physician Assistant 2828 Chicago Ave, Suite 200, Minneapolis, MN 55407-1544 2012-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720644057 Amana Home Care Home Health 2833 13th Ave S Suite 118, Minneapolis, MN 55407 2019-05-13
1356802979 Aaron Randy Pickrel Student in an Organized Health Care Education/Training Program 2800 Chicago Avenue, #250, Minneapolis, MN 55407 2019-03-27
1053881631 Naimo Abdisalam Registered Nurse 1229 East Lake Street, Minneapolis, MN 55407 2018-11-27
1437639614 Kelly Usitalo Nurse Practitioner 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 2018-08-17
1952880346 Allison Hall Internal Medicine Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 2018-08-07
1780176370 Rebekah Sand Physical Therapist 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 2018-05-31
1417448663 Vivian T.c. Liu Student in an Organized Health Care Education/Training Program 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 2018-05-23
1053802397 Isuroon Counselor 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 2018-05-22
1154811404 Mohamed Mukhtar Ali Dentist 4700 Cedar Ave S, Minneapolis, MN 55407 2018-05-12
1396254280 Erin Elizabeth Casper Registered Nurse 3621 Oakland Ave, Minneapolis, MN 55407 2017-09-25
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285118687 Chimei M Lee Clinical Neuropsychologist 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 2018-09-20
1962750026 Paul Marshall LLC Clinical Neuropsychologist 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 2012-08-21
1780977934 Samantha Glass Clinical Neuropsychologist 701 Park Ave # G8, Minneapolis, MN 55415-1623 2011-05-20
1467660084 Robin Lee Wetzel Clinical Neuropsychologist 1625 Park Ave, Minneapolis, MN 55404-1634 2007-05-18
1912022336 Learning and Language Specialists, Inc. Clinical Neuropsychologist 1405 Lilac Dr N Ste 200, Minneapolis, MN 55422-4546 2007-03-21
1619050028 Robin Rumsey Clinical Neuropsychologist 717 Delaware St Se Ste 240, Minneapolis, MN 55414-2959 2006-10-23
1497837041 William Thomas O'dowd Clinical Neuropsychologist 2720 W 43rd St, Suite 205, Minneapolis, MN 55410-1643 2006-10-20
1568418812 Christopher James Boys Clinical Neuropsychologist 200 Oak St Se, 160 Mcnamara Mcnamara, University of Minnesota Physicians, Minneapolis, MN 55455 2006-05-26
1649819665 Amanda Wenzel Kalstabakken Clinical Neuropsychologist 2512 S 7th St, Minneapolis, MN 55454-1404 2019-12-23
1104476589 Leslie N Perez Clinical Neuropsychologist 701 Park Ave, Minneapolis, MN 55415-1623 2019-09-17
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Competitor

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City MINNEAPOLIS
Zip Code 55407

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Dataset Information

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.

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