Richard O Anderson (NPI# 1215014592, PAC ID# 0143277657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1215014592 |
| PAC ID by PECOS | 0143277657 |
| Professional Enrollment ID | I20050406001137 |
| Full Name | Richard O Anderson |
| Organization Legal Name | ASSOCIATED CLINIC OF PSYCHOLOGY INC |
| Address |
4240 Park Glen Rd St Louis Park MN 55416-4758 |
| Phone Number | 6129256033 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1960 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0749171320 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4240 Park Glen Rd, St Louis Park, MN 55416-4758 | 6129256033 | ASSOCIATED CLINIC OF PSYCHOLOGY INC |
| Organization Legal Name | ASSOCIATED CLINIC OF PSYCHOLOGY INC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia M Newman | Clinical Social Worker | Associated Clinic of Psychology Inc | 149 Thompson Ave E, Suite 150, West St Paul, MN 55118-3238 |
| Sandra L Forest | Clinical Social Worker | Associated Clinic of Psychology Inc | 4027 County Rd, Suite 25, St Louis Park, MN 55416-4119 |
| Deborah L Anderson | Clinical Psychologist | Associated Clinic of Psychology Inc | 1155 Ford Rd B, St Louis Park, MN 55426-1115 |
| Devon Elizabeth Whitehead | Psychologist, Clinical | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Ellen B Hartnett | Clinical Social Worker | Associated Clinic of Psychology Inc | 450 Syndicate St N, Suite 385, Saint Paul, MN 55104-4219 |
| Tobin R Delgiudice | Psychologist, Clinical | Associated Clinic of Psychology Inc | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4597 |
| Kimberly J Oftedahl-brooks | Clinical Social Worker | Associated Clinic of Psychology Inc | 6200 Shingle Creek Pkwy, Suite 350, Brooklyn Center, MN 55430-2155 |
| Kathleen J Lietzau | Certified Clinical Nurse Specialist (cns) | Associated Clinic of Psychology Inc | 6950 146th St W, Suite 100, Apple Valley, MN 55124-8520 |
| Brownell E Mack Iii | Psychologist, Clinical | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Haley N Carlock | Nurse Practitioner | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Street Address |
4240 PARK GLEN RD |
| City | ST LOUIS PARK |
| State | MN |
| Zip | 55416-4758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brownell E Mack Iii | Psychologist, Clinical | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Kia C Cashman | Clinical Social Worker | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| James A Moore | Psychologist, Clinical | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| James J Knipler | Clinical Social Worker | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Stephanie L Dibb | Clinical Social Worker | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| James J Prokop | Psychologist, Clinical | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Sheri L Rosencrantz | Clinical Social Worker | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Paige E Sorenson | Clinical Social Worker | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Amanda R Thooft | Clinical Social Worker | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Shelley L Pucci | Clinical Social Worker | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian L Delaney | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-0026 |
| Melissa R Shirriff | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-0026 |
| Harlan F Mittag | Chiropractic | 6311 Wayzata Blvd, Suite 220, St Louis Park, MN 55416-1245 | |
| Keith Alan Vossel | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Kayla Charlene James | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Shauna Hsiaosan Yuan | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Christa Joyce Reader | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Scott Curran | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| James Ashe | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Minneapolis, MN 55416-1275 |
| Kathryn Ann Gorres Nice | Occupational Therapy | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Find all physicians in zip 55416 | |||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
| Specialty | PSYCHIATRY |
| City + Specialty | ST LOUIS PARK + PSYCHIATRY |
Please comment or provide details below to improve the information on Richard O Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.