PAUL MARSHALL LLC (NPI# 1962750026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962750026 |
| Entity Type | Organization |
| Organization Name | PAUL MARSHALL LLC |
| Practice Address |
825 Nicollet Mall Ste 1440 Medical Arts Bldg Minneapolis MN 55402-2718 |
| Mailing Address |
1811 Weir Dr Ste 190 Woodbury MN 55125-2292 |
| Practice Telephone | 6124608502 |
| Practice Fax Number | 6517306657 |
| Mailing Telephone | 6517388561 |
| Mailing Fax Number | 6517306657 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | AIMEE PETRA (BUSINESS MANAGER) |
| Authorized Official Telephone | 6517388561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | LP1606 | MN | Behavioral Health & Social Service Providers |
| Street Address |
825 NICOLLET MALL STE 1440 MEDICAL ARTS BLDG |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55402-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1124684725 | Eric James Holthaus | Dentist | 825 Nicollet Ave #1025, Minneapolis, MN 55402 | 2019-05-20 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1124529417 | Danielle Marie Kasprzak | Social Worker | 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 | 2018-02-22 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| 1265891600 | Carl Mothes | Counselor | 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 | 2016-02-13 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
| 1235368226 | Anna Dickens | Nurse Practitioner | 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 | 2009-07-10 |
| Find all providers in zip 55402 | ||||
| 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 |
| 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 |
| 1518432046 | Nicole Arola Anderson | Clinical Neuropsychologist | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2018-10-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55402 |
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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.