ACACIA PSYCHOLOGICAL CORPORATION (NPI# 1043757925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043757925 |
| Entity Type | Organization |
| Organization Name | ACACIA PSYCHOLOGICAL CORPORATION |
| Other Organization Name | ACACIA COUNSELING & WELLNESS |
| Practice Address |
2720 University Ave Se Unit B Minneapolis MN 55414-3210 |
| Mailing Address |
948 Embarcadero Del Norte Goleta CA 93117-5106 |
| Practice Telephone | 8053992511 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | BRETT DONNELLY (CO-OWNER/CEO) |
| Authorized Official Telephone | 8053992511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
CC01316 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
GL0058 | MN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Acacia Counseling & Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139087 | Acacia Psychological Corporation | Psychologist | 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 | 2018-06-25 |
| 1295279883 | Acacia Psychological Corporation | Psychologist | 207 E St Ste B, Davis, CA 95616-4523 | 2016-12-15 |
| 1053912477 | Acacia Psychological Corporation | Psychologist | 5900 Balcones Dr Ste 100, Austin, TX 78731-4298 | 2020-11-03 |
| 1962061739 | Acacia Psychological Corporation | Psychologist | 740 Front St Ste 220, Santa Cruz, CA 95060-4536 | 2019-06-06 |
| 1770148827 | Acacia Psychological Corporation | Psychologist | 4255 Campus Dr Ste A245, Irvine, CA 92612-8630 | 2019-05-03 |
| 1316415359 | Acacia Psychological Corporation | Psychologist | 8950 Villa La Jolla Dr Ste C121, La Jolla, CA 92037-1707 | 2018-11-07 |
| 1033561147 | Acacia Psychological Corporation | Psychologist | 948 Embarcadero Del Norte Ste 102, Goleta, CA 93117-5106 | 2016-07-13 |
| Street Address |
2720 UNIVERSITY AVE SE UNIT B |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1831740216 | Seth Gordon Disner | Psychologist | 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 | 2019-09-26 |
| 1366090763 | Healing Therapy LLC | Psychologist | 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 | 2019-08-28 |
| 1891340469 | Karin Fisher | Psychologist | 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 | 2019-08-09 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1689030231 | Oliver Ross Psychology and Consulting LLC | Psychologist | 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 | 2016-01-13 |
| 1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
| 1841664190 | Lakes Wellness Center LLC | Psychologist | 3248 Stevens Ave, Minneapolis, MN 55408-3214 | 2015-11-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on ACACIA PSYCHOLOGICAL CORPORATION.
| 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.