HIGHLAND PSYCHIATRIC SERVICES PA (NPI# 1891884326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891884326 |
Entity Type | Organization |
Organization Name | HIGHLAND PSYCHIATRIC SERVICES PA |
Practice Address |
897 St Paul Ave St Paul MN 55116 |
Practice Telephone | 6516984443 |
Practice Fax Number | 6516984817 |
Mailing Telephone | 6516984443 |
Mailing Fax Number | 6516984817 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SUZY ELLEN PETERSON (OWNER) |
Authorized Official Telephone | 6516984443 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
Street Address |
897 ST PAUL AVE |
City | ST PAUL |
State | MN |
Zip Code | 55116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568017374 | The Bridge Autism Clinic LLC | Clinic/Center | 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 | 2019-08-08 |
1205306875 | Center for Validation and Change, L.L.C. | Social Worker | 790 Cleveland Avenue S. Ste; 211 790, St. Paul, MN 55116 | 2018-11-27 |
1114391307 | Therese Ann Wengler | Rehabilitation Hospital | 1206 Niles Avenue, Saint Paul, MN 55116 | 2015-11-25 |
1306220579 | Lauren Ann Wier | Social Worker | 577 Wawick St, Saint Paul, MN 55116 | 2015-07-16 |
1982097325 | Norah Hoverson | Dentist | 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 | 2015-03-10 |
1316336803 | Ryan W. Nolte | Chiropractor | 1150 Montreal Ave Ste 101, Saint Paul, MN 55116 | 2015-01-21 |
1316348642 | Highland Gw, LLC | Assisted Living Facility | 1925 Graham Avenue, St. Paul, MN 55116 | 2014-09-05 |
1972941185 | Creations Midwifery, LLC | Advanced Practice Midwife | 1235 Saint Paul Avenue, Saint Paul, MN 55116 | 2013-06-10 |
1992075428 | Nels Health Care, LLC | Licensed Practical Nurse | 2285 Stewart Ave, Suite 1107, St Paul, MN 55116 | 2011-12-30 |
1962717728 | Lindsey Hammond Teigland | Psychologist | 690 Cleveland Avenue South, St. Paul, MN 55116 | 2010-08-17 |
Find all providers in zip 55116 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
1841514734 | Sara Jean Polley | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-03-21 |
1356597041 | Wei Guan | Psychiatry & Neurology | 3800 Park Nicollet Blvd Ste 650, St Louis Park, MN 55416-2527 | 2008-08-13 |
1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
1396885646 | Muhammad Waqar Azeem | Psychiatry & Neurology | 11705 State Ave, Brainerd, MN 56401-7307 | 2007-02-07 |
1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
1801836127 | Sanjiv Kumra | Psychiatry & Neurology | 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 | 2006-06-07 |
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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.