ANGELA RAE NELSON


Address: 1650 W End Blvd, Suite 100, St Louis Park, MN 55416-5367
Phone: 9528568452

ANGELA RAE NELSON (NPI# 1083843593) 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) 1083843593
Entity Type Individual
Full Name ANGELA RAE NELSON
Other Name ANGELA RAE GAWRON
Credential PSY.D., LP
Practice Address 1650 W End Blvd
Suite 100
St Louis Park
MN 55416-5367
Mailing Address 18635 37th Ave N
Plymouth
MN 55446-2856
Practice Telephone 9528568452
Practice Fax Number 9524870380
Mailing Telephone 7633554558
Mailing Fax Number 7634789294
Enumeration Date 2009-07-06
Last Update Date 2015-04-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 5086 MN Behavioral Health & Social Service Providers

Other Providers ANGELA NELSON

NPI Name Taxonomy Address Enumeration
1629424635 Angela Nelson Massage Therapist 1010 Esther St, Vancouver, WA 98660-3028 2016-05-09
1275913170 Angela Marie Nelson Physical Therapist 495 E Waterfront Dr Ste 240, Homestead, PA 15120-1151 2015-06-05
1659713204 Angela Michelle Nelson Nurse Practitioner 1908 N Ky 7, Sandy Hook, KY 41171-7172 2013-07-24
1063785061 Angela A Nelson Licensed Practical Nurse 1158 60th Ave, Roberts, WI 54023-8331 2012-02-22
1063782837 Angela C Nelson Nurse's Aide 2557 Ogden Ave, Akron, OH 44312-2408 2012-01-10
1700037363 Angela Nelson Occupational Therapy Assistant 4607 Lindbergh Dr, Jackson, MS 39209-3855 2008-10-01
1902374275 Angela Carol Nelson Technician 3647 Highway 39, Klamath Falls, OR 97603-2612 2018-11-05
1437625506 Angela Elise Nelson Nurse Practitioner 8607 E Us Highway 36, Avon, IN 46123-7960 2018-10-16
1154854727 Angela Nelson Case Management 2428 W Reynolds Ave, Centralia, WA 98531-4554 2017-04-10
1124575113 Angela Nelson Counselor 1650 Sw 45th Pl, Corvallis, OR 97333-1768 2016-09-07

Office Location

Street Address 1650 W END BLVD
SUITE 100
City ST LOUIS PARK
State MN
Zip Code 55416-5367

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326458522 Childrens Speech Partners LLC Speech-Language Pathologist 1650 W End Blvd, Suite 100, St Louis Park, MN 55416-5367 2014-04-28

Providers in the same zip code

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 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
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1023559465 Jennifer Jane Anderson Psychologist 2901 Princeton Ave, St Louis Park, MN 55416-1956 2017-03-18
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
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

Competitor

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City ST LOUIS PARK
Zip Code 55416

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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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