DR. LINDA C GIACOMO


Address: 401 Groveland Ave, Minneapolis, MN 55403-3219
Phone: 6128721161

DR. LINDA C GIACOMO (NPI# 1811106065) 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) 1811106065
Entity Type Individual
Full Name DR. LINDA C GIACOMO
Credential PH.D.
Practice Address 401 Groveland Ave
Minneapolis
MN 55403-3219
Practice Telephone 6128721161
Practice Fax Number 6128717869
Mailing Telephone 6128721161
Enumeration Date 2007-05-22
Last Update Date 2011-03-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist LP-1767 MN Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
LP-1767 MN Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
LP-1767 MN Behavioral Health & Social Service Providers
N 103TP0814X Psychologist
Specialization: Psychoanalysis
LP-1767 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BLUE CROSS BLUE SHIELD MN 47817GI 01
MN MEDICA 61-80064 01
MN HEALTH PARTNERS 93551 01
MN PREFERRED ONE CH PLAN 66549 01
MN UNITED BEHAVIORAL HEALTH 61-80064 01

Office Location

Street Address 401 GROVELAND AVE
City MINNEAPOLIS
State MN
Zip Code 55403-3219

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City MINNEAPOLIS
Zip Code 55403

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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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