CITY PSYCHIATRIC LLC (NPI# 1871912600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871912600 |
| Entity Type | Organization |
| Organization Name | CITY PSYCHIATRIC LLC |
| Practice Address |
4570 W 77th St #315 Edina MN 55435-5008 |
| Practice Telephone | 6125546794 |
| Mailing Telephone | 6125546794 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | NANCY KERMATH (OWNER) |
| Authorized Official Telephone | 6125546794 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
027457 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
4570 W 77TH ST #315 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053357004 | James H. Andrisevic | Surgery | 4570 W 77th St, Suite 235, Edina, MN 55435-5008 | 2006-06-20 |
| 1205375433 | Equilibrium LLC | Massage Therapist | 4570 W 77th St, Suite 140, Edina, MN 55435-5008 | 2017-02-21 |
| 1316318488 | Healthsprk Home Health & Hospice | Home Health | 4570 W 77th St, Suite 350, Edina, MN 55435-5008 | 2015-10-14 |
| 1568841369 | Zen Chiropractic Inc | Specialist | 4570 W 77th St, Suite 140, Edina, MN 55435-5008 | 2015-05-26 |
| 1801294087 | Beth Vanwyngarden | Acupuncturist | 4570 W 77th St, Suite 140, Edina, MN 55435-5008 | 2014-12-20 |
| 1073851747 | Anthony John Zupke | Chiropractor | 4570 W 77th St, 140, Edina, MN 55435-5008 | 2013-01-30 |
| 1265779961 | Aaron Lee Schindler | Acupuncturist | 4570 W 77th St, Suite 140, Edina, MN 55435-5008 | 2013-01-15 |
| 1093942195 | In-home Clinic Connection PC | Clinic/Center | 4570 W 77th St, Suite 165, Edina, MN 55435-5008 | 2009-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| 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 |
|---|---|---|---|---|
| 1790286193 | Allina Health System | Psychiatry & Neurology | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2018-02-22 |
| 1417337130 | Lyuba Megits | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2015-06-08 |
| 1144575994 | Cor Counseling Services LLC | Psychiatry & Neurology | 646 E River Rd Ste 1, Anoka, MN 55303 | 2012-07-18 |
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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.