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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BLUE CROSS BLUE SHIELD | 392G5GU | 01 |
MN | UNITED BEHAVIORAL HEALTH | 61-78167 | 01 |
MN | 482415600 | 05 |
Street Address |
2828 CHICAGO AVE SUITE #200 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55407-1544 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55407 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55407 |
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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.