INTERNATIONAL PSYCHOLOGICAL AND SOCIAL SERVICE AGENCY (NPI# 1962808790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962808790 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL PSYCHOLOGICAL AND SOCIAL SERVICE AGENCY |
| Other Organization Name | IPASSA |
| Practice Address |
1625 Park Ave Minneapolis MN 55404-1634 |
| Practice Telephone | 6122963622 |
| Practice Fax Number | 6125889420 |
| Mailing Telephone | 6122963622 |
| Mailing Fax Number | 6125889420 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | DR. ROBIN L. WETZEL (DIRECTOR) |
| Authorized Official Telephone | 6122963622 |
| Authorized Official Credential | PH.D., LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| IPASSA | Doing Business As Name - Organization |
| Street Address |
1625 PARK AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467660084 | Robin Lee Wetzel | Clinical Neuropsychologist | 1625 Park Ave, Minneapolis, MN 55404-1634 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1215394986 | Medical Care Innovation, P.C. | Clinic/Center | 1 General Mills Blvd, Minneapolis, MN 55426-1347 | 2016-01-26 |
| 1225368541 | Fairview Clinics | Clinic/Center | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2010-01-08 |
| 1194051151 | Group Health Plan Inc | Clinic/Center | 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425-4516 | 2009-10-27 |
| 1003142068 | Group Health Plan Inc | Clinic/Center | 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425-4516 | 2009-10-27 |
| 1326287988 | Group Health Plan Inc | Clinic/Center | 8170 33rd Ave S, Mailstop 21110q, Minneapolis, MN 55425-4516 | 2009-02-05 |
| 1932208808 | Childrens Health Care | Clinic/Center | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on INTERNATIONAL PSYCHOLOGICAL AND SOCIAL SERVICE AGENCY.
| 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.