ALLINA HEALTH SYSTEM (NPI# 1790286193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790286193 |
Entity Type | Organization |
Organization Name | ALLINA HEALTH SYSTEM |
Other Organization Name | TELEPSYCHIATRY SERVICES |
Practice Address |
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522 |
Mailing Address |
Po Box 43 Route 10202 Minneapolis MN 55407 |
Practice Telephone | 6122621166 |
Mailing Telephone | 6122621166 |
Enumeration Date | 2018-02-22 |
Last Update Date | 2020-09-11 |
Authorized Official Name | RICHARD MAGNUSON (CFO) |
Authorized Official Telephone | 6122620102 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Telepsychiatry Services | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
11320 Viridian Way, Austin, TX 787392093 | 6122621220 | |
12 Woodhaven Rd, Toms River, NJ 087532044 | 6122621220 | |
12916 Grape Harvest Dr, Rancho Cucamonga, CA 917398754 | 6122621220 | |
151 175th Ave E, Redington Shores, FL 337081207 | 6122621220 | |
16 Leeds Ln, North Babylon, NY 117032902 | 6122621220 | |
228 Linda Lee Xing, Whitney, TX 766925458 | 6122621220 | |
2292 Whiteoak Dr Se, Smyrna, GA 300807422 | 6122621220 | |
235 E 13th St Apt 2m, New York, NY 100035648 | 6122621220 | |
2752 Jefferson St Se, Roanoke, VA 240143318 | 6122621220 | |
30 W 126th St Apt 2, New York, NY 100273932 | 6122621220 | |
321 E Fourth St, Long Beach, MS 395606208 | 6122621220 | |
386 Gwen Rd, Senatobia, MS 386686885 | 6122621220 | |
404 Rio Grande St Apt 227, Austin, TX 787012792 | 6122621220 | |
46 Beaver Dam Rd, Randolph, NJ 078693803 | 6122621220 | |
4902 Canyon Sage Ln, Katy, TX 774942333 | 6122621220 | |
5308 Vale St, Greenville, TX 754026436 | 6122621220 | |
5910 Ross Ave Unit 4, Dallas, TX 752067932 | 6122621220 | |
6221 Cartmel Ln, Windermere, FL 347865420 | 6122621220 | |
7629 Eagle Ridge Cir, Fort Worth, TX 761793169 | 6122621220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598363707 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 290, Coon Rapids, MN 55433-2593 | 2020-10-12 |
1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
1023678679 | Allina Health System | Nurse Practitioner | 18755 70th Way N, Maple Grove, MN 55311-3515 | 2019-06-17 |
1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | ALLINA HEALTH SYSTEM INC. | Po Box 9310, Minneapolis, MN 55440 |
Street Address |
4050 COON RAPIDS BLVD NW |
City | COON RAPIDS |
State | MN |
Zip Code | 55433-2522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134126238 | Adam Lee Gunder | Internal Medicine | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2005-07-05 |
1215547757 | Jeremy Lee Coudron | Nurse Practitioner | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-08-07 |
1851915177 | Naomi Benjamin | Clinical Nurse Specialist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-06-02 |
1912527920 | Dawn Hadley | Physical Therapy Assistant | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-20 |
1275153348 | Tyler Daniel Mathiason | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-20 |
1003436346 | Jennifer Gordon Hakes | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-16 |
1821617739 | Krista Michelle Holter | Speech-Language Pathologist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-10 |
1508485459 | Kristin Dianne Forsythe | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-10 |
1134748338 | Denise Kay Kaehler | Physical Therapy Assistant | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-09 |
1942829148 | Kelsey Steinbrecher | Occupational Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
Find all providers in zip 55433 |
Taxonomy Code | 2084B0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Behavioral Neurology & Neuropsychiatry |
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417337130 | Lyuba Megits | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2015-06-08 |
1871912600 | City Psychiatric LLC | Psychiatry & Neurology | 4570 W 77th St, #315, Edina, MN 55435-5008 | 2014-04-09 |
1144575994 | Cor Counseling Services LLC | Psychiatry & Neurology | 646 E River Rd Ste 1, Anoka, MN 55303 | 2012-07-18 |
City | COON RAPIDS |
Zip Code | 55433 |
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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.