BRADSHAW PSYCHOLGICAL SERVICES (NPI# 1992053169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992053169 |
| Entity Type | Organization |
| Organization Name | BRADSHAW PSYCHOLGICAL SERVICES |
| Practice Address |
1751 Southcross Dr W Burnsville MN 55306-7012 |
| Mailing Address |
7637 15th St N Oakdale MN 55128-5600 |
| Practice Telephone | 9528927690 |
| Practice Fax Number | 9528984930 |
| Mailing Telephone | 9528927690 |
| Mailing Fax Number | 9528984930 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |
| Authorized Official Name | NANCY L BRADSHAW (1ST GOV) |
| Authorized Official Telephone | 9528927690 |
| Authorized Official Credential | RN CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
1751 SOUTHCROSS DR W |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55306-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245312818 | Patricia Verby Psychological Services Inc | Psychologist | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2006-10-20 |
| 1598248346 | Donald Wayne Bellinger | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2018-09-07 |
| 1801375423 | Myranda Jo Shaw | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2018-08-14 |
| 1942792296 | Rebecca Elizabeth Clark | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306 | 2018-06-02 |
| 1104206002 | Jennifer Kay Edlund | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2015-06-05 |
| 1043638653 | John Gawboy | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2014-04-01 |
| 1588921050 | Jenna Marie Zoz | Marriage & Family Therapist | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2012-04-20 |
| 1104106038 | Amy Diane Quinn | Counselor | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2011-08-23 |
| 1205069168 | Dean Y. Charles | Psychologist | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2009-08-26 |
| 1619199270 | Dana Michelle Escobar | Social Worker | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
| 1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
| 1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
| 1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
| Find all providers in zip 55306 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123376 | Como Behavioral Care LLC | Clinic/Center | 441 Old Highway 8 Nw Ste 213, New Brighton, MN 55112-3235 | 2020-10-27 |
| 1962000646 | Life Care Health Services LLC | Clinic/Center | 1808 Riverside Ave Ste 211, Minneapolis, MN 55454-1121 | 2020-10-14 |
| 1639788755 | Cazares Professional Therapy | Clinic/Center | 166 Farrington St, Saint Paul, MN 55102-2104 | 2020-07-24 |
| 1770100877 | Halabrin Marty and Associates | Clinic/Center | 12760 Aberdeen St Ne Ste 2122760, Blaine, MN 55449-5845 | 2020-07-06 |
| 1891312732 | Healthy Balance Psychology, LLC | Clinic/Center | 1550 Sunset Dr Sw, Owatonna, MN 55060-3854 | 2020-06-26 |
| 1134745300 | Quality Care Counseling Services LLC | Clinic/Center | 4141 Central Ave Ne Ste 250, Columbia Heights, MN 55421-3611 | 2020-06-23 |
| 1780207829 | Amazing You Therapy, LLC | Clinic/Center | 421 1st Ave Sw Ste 300w, Rochester, MN 55902-3389 | 2020-05-23 |
| 1609499813 | Bright Place LLC | Clinic/Center | 3835 Bakken Blvd, Columbia Heights, MN 55421-5056 | 2020-05-21 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1235763814 | Monarch Wellness LLC | Clinic/Center | 51 E 4th St Ste 309, Winona, MN 55987-3791 | 2020-02-23 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55306 |
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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.