PARK PSYCHOTHERAPY & CONSULTING INC (NPI# 1023153491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023153491 |
| Entity Type | Organization |
| Organization Name | PARK PSYCHOTHERAPY & CONSULTING INC |
| Practice Address |
4601 Excelsior Blvd Suite 501 St Louis Park MN 55416 |
| Practice Telephone | 9529270170 |
| Practice Fax Number | 9529277027 |
| Mailing Telephone | 9529270170 |
| Mailing Fax Number | 9529277027 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAURA J TRIPET DODGE (CEO) |
| Authorized Official Telephone | 9529270170 |
| Authorized Official Credential | MS LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
4601 EXCELSIOR BLVD SUITE 501 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699713479 | Mark Schuler | Clinical Neuropsychologist | 4601 Excelsior Blvd, Suite 301b, St Louis Park, MN 55416-4960 | 2006-06-03 |
| 1851761993 | Treestone Therapy Pllc | Marriage & Family Therapist | 4601 Excelsior Blvd, Suite 411, St Louis Park, MN 55416-4960 | 2015-10-01 |
| 1548608227 | S J and K Home Care, LLC | Home Health | 4601 Excelsior Blvd, Suite 410, St Louis Park, MN 55416-4960 | 2013-06-04 |
| 1508114810 | Carl Richard Hansen II | Psychiatry & Neurology | 4601 Excelsior Blvd, Suite 300, St Louis Park, MN 55416-4960 | 2012-08-16 |
| 1265723571 | The Ormsby Group Ltd. | Nursing Care | 4601 Excelsior Blvd, Ste. 403, St Louis Park, MN 55416-4960 | 2011-04-21 |
| 1154598878 | Hansen Neuropsychiatric Clinic Pa | Clinic/Center | 4601 Excelsior Blvd, Suite 300, St Louis Park, MN 55416-4960 | 2008-05-12 |
| 1518092642 | Jane A Legwold | Marriage & Family Therapist | 4601 Excelsior Blvd, Suite 501d, St Louis Park, MN 55416 | 2007-02-22 |
| 1881739241 | Laura J Tripet Dodge | Psychologist | 4601 Excelsior Blvd, Suite 501a, St Louis Park, MN 55416 | 2007-02-21 |
| 1477699577 | M. Katharine Marsh | Counselor | 4601 Excelsior Blvd, Suite 507a, St Louis Park, MN 55416-4960 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721818 | Rene Mooney Psyd Pllc | Psychologist | 419 3rd St E, Thief River Falls, MN 56701-2104 | 2020-05-13 |
| 1912111204 | Barbara Weller Licsw LLC | Psychologist | 5170 Mcquade Road, Duluth, MN 55804-2943 | 2007-05-09 |
| 1922145622 | Associates In Psychiatry and Psychology | Psychologist | 3101 Superior Dr Nw, Rochester, MN 55901-1993 | 2007-01-31 |
| 1457414179 | Kathryn Mary Mcalister | Psychologist | 1700 North Broadway, Suite 102, Rochester, MN 55906-4144 | 2006-12-18 |
| 1225199052 | Nathaniel Stewart Jr. | Psychologist | 1535 Laurel Ave, Saint Paul, MN 55104-6739 | 2006-12-13 |
| 1255373403 | Allina Health System | Psychologist | 710 E. 24th Street, # 303, Minneapolis, MN 55407-1321 | 2006-06-12 |
| 1154954857 | Christopher John Schiffer | Psychologist | 1516 W Lake St, Minneapolis, MN 55408-2554 | 2020-02-20 |
| 1548790215 | Roberta Gerling LLC | Psychologist | 16204 Highway 7, Minnetonka, MN 55345-3405 | 2017-06-15 |
| 1942494216 | Pathways Counseling Center, Inc. | Psychologist | 1919 University Ave W, Suite 6, Saint Paul, MN 55104-3453 | 2007-08-30 |
| 1659443992 | Southwest Family Serivces | Psychologist | 3108 Hennepin Ave, Minneapolis, MN 55408-2619 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on PARK PSYCHOTHERAPY & CONSULTING INC.
| 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.