DR. JENNIFER JANE ANDERSON (NPI# 1023559465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023559465 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER JANE ANDERSON |
| Credential | PH.D |
| Practice Address |
2901 Princeton Ave St Louis Park MN 55416-1956 |
| Practice Telephone | 9528480140 |
| Practice Fax Number | 9528480140 |
| Mailing Telephone | 9528480140 |
| Mailing Fax Number | 9528480140 |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2017-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3525 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046684 | Jennifer Anderson | Physical Therapy Assistant | 5900 N Brook Pl, Garden City, ID 83714-1724 | 2020-09-02 |
| 1912464686 | Jennifer Kennedy Anderson | Speech-Language Pathologist | 4 Bitternut Ct, Catonsville, MD 21228-5866 | 2019-02-28 |
| 1942782990 | Jennifer Anderson | Peer Specialist | 2615 O St Ste 4, Lincoln, NE 68510-1385 | 2018-09-05 |
| 1558849133 | Jennifer C Anderson | Registered Nurse | 11704 E Laketowne Dr, Albertville, MN 55301-4540 | 2018-08-05 |
| 1730665084 | Jennifer Marie Anderson | Nurse Practitioner | 4 Courthouse Ln Unit 9, Chelmsford, MA 01824-1731 | 2018-07-18 |
| 1952891137 | Jennifer Anderson | Behavioral Analyst | 51 W Schaumburg Rd, Schaumburg, IL 60194-3506 | 2018-05-14 |
| 1316448780 | Jennifer Renee Anderson | Counselor | 17 Mckean Ave, Charleroi, PA 15022-1436 | 2018-02-21 |
| 1063927911 | Jennifer Anderson | Counselor | 524 25th Ave N, Saint Cloud, MN 56303-3255 | 2017-12-13 |
| 1154850733 | Jennifer Lynn Anderson | Behavior Technician | 3290 S Lakeshore Loop, Palmer, AK 99645-9002 | 2017-06-07 |
| 1467985390 | Jennifer Lynne Anderson | Pediatrics | 782 Mcchord St, Colorado Springs, CO 80916-5299 | 2017-04-07 |
| Street Address |
2901 PRINCETON AVE |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-1956 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1992130694 | Mary Colleen Morrissette | Psychologist | 3340 Republic Ave Ste 120, St Louis Park, MN 55426-4189 | 2013-09-12 |
| 1609128057 | Kathleen Anne Johnson Debow | Psychologist | 4500 Park Glen Rd Ste 450, St Louis Park, MN 55416-5190 | 2012-10-10 |
| 1801028972 | Psychotherapy & Healing Associates, Ltd | Psychologist | 8085 Wayzata Boulevard, Suite Number 203, St Louis Park, MN 55426 | 2009-08-21 |
| 1083843593 | Angela Rae Nelson | Psychologist | 1650 W End Blvd, Suite 100, St Louis Park, MN 55416-5367 | 2009-07-06 |
| 1124254503 | Wendy Anne-massmann Sweeney | Psychologist | 2820 Princeton Ave, St Louis Park, MN 55416-1955 | 2009-05-30 |
| 1487865549 | Polly Susan Niederloh | Psychologist | 1330 Jersey Ave S, St Louis Park, MN 55426-2237 | 2007-05-24 |
| 1922147040 | Linda Jane Solie | Psychologist | 5775 Wayzeta Blvd, Suite 700, St Louis Park, MN 55416-1233 | 2007-02-05 |
| 1558412924 | Mary Elizabeth Grosscup | Psychologist | 5353 Gamble Dr Ste 395, St Louis Park, MN 55416-1510 | 2007-01-14 |
| 1104976331 | Mary Ann Ver Steey Halbert | Psychologist | 1660 So Highway 100, Ste 332, St Louis Park, MN 55416 | 2007-01-11 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.