PLYMOUTH PSYCH GROUP, LLC (NPI# 1003195942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003195942 |
| Entity Type | Organization |
| Organization Name | PLYMOUTH PSYCH GROUP, LLC |
| Practice Address |
3021 Harbor Ln N Suite 206 Plymouth MN 55447-5109 |
| Practice Telephone | 6512719005 |
| Practice Fax Number | 7632712707 |
| Mailing Telephone | 6512719005 |
| Mailing Fax Number | 7632712707 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |
| Authorized Official Name | ISRAEL SOKEYE (OWNER) |
| Authorized Official Telephone | 6512719005 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3021 HARBOR LN N SUITE 206 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417968207 | Sandra Kuperman Sondell | Psychologist | 3021 Harbor Ln N, Suite 210, Plymouth, MN 55447-5109 | 2006-08-10 |
| 1356794739 | Katie Marie Walker | Marriage & Family Therapist | 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 | 2016-07-20 |
| 1396100046 | Jamie Lynn Giles | Clinical Nurse Specialist | 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 | 2015-12-23 |
| 1386952125 | Kara Elaine Pilon Reil | Counselor | 3021 Harbor Ln N, Plymouth, MN 55447-5109 | 2010-09-14 |
| 1477878684 | Kathleen Patricia Wessel | Social Worker | 3021 Harbor Ln N, Suite 210, Plymouth, MN 55447-5109 | 2010-03-30 |
| 1548428808 | Israel O Sokeye | Psychiatry & Neurology | 3021 Harbor Ln N, #206, Plymouth, MN 55447-5109 | 2008-05-23 |
| 1295902658 | J.beck Chiropractic & Wellness, P.a. | Chiropractor | 3021 Harbor Ln N, Suite 109, Plymouth, MN 55447-5109 | 2008-05-14 |
| 1164626230 | Pinnacle Chiropractic and Acupuncture, Pa | Chiropractor | 3021 Harbor Ln N, Suite 109, Plymouth, MN 55447-5109 | 2007-06-13 |
| 1548475536 | Jonathan E. Beck | Chiropractor | 3021 Harbor Ln N, Suite 109, Plymouth, MN 55447-5109 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124648 | Sedonia Counseling Services, LLC | Counselor | 10812 Cardinal Cir, Plymouth, IN 46563-7968 | 2020-11-02 |
| 1992329676 | Ann Kowalski | Counselor | 1259 Old Sandwich Rd, Plymouth, MA 02360-2516 | 2020-05-29 |
| 1497378780 | Juli Lynn Sneider | Counselor | 23 South St Apt 5, Plymouth, MA 02360-2984 | 2020-05-21 |
| 1588218440 | Kyle Hochstin | Counselor | 5 Jacobs Ladder, Plymouth, MA 02360-2115 | 2019-07-30 |
| 1700444635 | Abstract Therapy LLC. | Counselor | 5 Main Street Ext Ste 303, Plymouth, MA 02360-3390 | 2019-06-05 |
| 1902360209 | Shari Cimino Pllc | Counselor | 42225 Ann Arbor Rd E, Plymouth, MI 48170-4364 | 2019-01-31 |
| 1699243667 | Macayla Kelley | Counselor | 70 Ellisville Grn, Plymouth, MA 02360-1742 | 2018-11-08 |
| 1023593605 | Gail Baran Good | Counselor | 13896 Covington Dr, Plymouth, MI 48170-2449 | 2018-09-28 |
| 1972085066 | Brandon Welch | Counselor | 12 Anchor Dr, Plymouth, MA 02360-3202 | 2018-09-05 |
| 1609393842 | Kathleen Morton Hicks | Counselor | 64 Industrial Park Rd Ste B, Plymouth, MA 02360-4881 | 2017-08-28 |
| Find all providers in PLYMOUTH | ||||
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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.