CENTER FOR PERSONAL & PROFESSIONAL GROWTH, LLC


Address: 400 S Broadway, Ste 16, Rochester, MN 55904
Phone: 5072525700

CENTER FOR PERSONAL & PROFESSIONAL GROWTH, LLC (NPI# 1063519262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063519262
Entity Type Organization
Organization Name CENTER FOR PERSONAL & PROFESSIONAL GROWTH, LLC
Practice Address 400 S Broadway
Ste 16
Rochester
MN 55904
Practice Telephone 5072525700
Practice Fax Number 5072528115
Mailing Telephone 5072525700
Mailing Fax Number 5072528115
Enumeration Date 2006-09-20
Last Update Date 2008-06-16
Authorized Official Name VICTORIA VOLSTAD (OWNER)
Authorized Official Telephone 5072525700
Authorized Official Credential MS LP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP3327 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 806023100 05

Office Location

Street Address 400 S BROADWAY
STE 16
City ROCHESTER
State MN
Zip Code 55904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326455106 Dbm,llc Prosthetic/Orthotic Supplier 400 S Broadway, Suite 106, Rochester, MN 55904-6445 2014-07-14
1982701181 Victoria Volstad Psychologist 400 S Broadway, Ste 16, Rochester, MN 55904 2006-09-20

Providers in the same zip code

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1851896187 Hamdi A Ali Pediatrics 26 Mayo Park Dr Se, Rochester, MN 55904 2018-03-28
1255847059 Brooke Maleszewski Nurse Practitioner 821 3rd Ave Se Ste 15, Rochester, MN 55904 2017-12-17
1699215988 Maximus Language Resources Interpreter 1775 3rd Ave Se, Rochester, MN 55904 2017-03-06
1215484803 Kylene Starr Allen Social Worker 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 2016-09-01
1013384627 Breathe Easy Medical Supplies Inc. Durable Medical Equipment & Medical Supplies 40 16th St. Sw Suite G, Rochester, MN 55904 2015-08-31
1932473105 Michelle Lee Sather Counselor 343 Woodlake Drive Se, Rochester, MN 55904 2012-03-05
1538453022 Amy M Carey Social Worker 40 16th Street Sw, Suite D, Rochester, MN 55904 2011-06-02
1396059895 Lisa Marie Bingham Optometrist 111 S. Broadway, Rochester, MN 55904 2010-07-27
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134764871 Avital Ogniewicz Psychologist 2519 Commerce Dr Nw, Rochester, MN 55901-4432 2019-11-15
1780230060 Madeline August Psychologist 291 Plymouth Ave S Apt 6, Rochester, NY 14608-2238 2019-08-13
1568902682 Katlyn D Rice Psychologist 200 E River Rd Fl 3, Rochester, NY 14623-1212 2017-03-08
1891231916 Alisa K. Phelps, Ph.d., Psychologist, Pllc Psychologist 697 Highland Ave, Rochester, NY 14620-3119 2017-01-12
1578967956 Mary Frances Maida Psychologist 25 Canterbury Rd Ste 307, Rochester, NY 14607-3403 2014-10-14
1689085037 Carrie Gleason Psychologist 900 W University Dr Ste B-3, Rochester, MI 48307-1817 2014-05-19
1043561335 Ken Wadum, Ed.d. Lp Psychologist 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902-4286 2012-09-26
1477839223 Trica L. Peterson Psychologist 675 Panorama Trl W, Suite 12, Rochester, NY 14625-2406 2011-10-25
1477866176 Janette Lynn Funk Psychologist 1577 South Ave, Rochester, NY 14620-3914 2010-07-22
1174835714 Barefootsouls-com Inc Psychologist 226 1st St, Rochester, MI 48307-2600 2010-07-12
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Competitor

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City ROCHESTER
Zip Code 55904

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Dataset Information

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.

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