DR. JILL MARIE ADAMS (NPI# 1124124045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124124045 |
| Entity Type | Individual |
| Full Name | DR. JILL MARIE ADAMS |
| Other Name | DR. JILL MARIE ADAMS |
| Credential | PSYD, LP |
| Practice Address |
4201 Excelsior Blvd St Louis Park MN 55416-4728 |
| Practice Telephone | 9529338900 |
| Practice Fax Number | 9529459536 |
| Mailing Telephone | 9529338900 |
| Mailing Fax Number | 9529459536 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3557 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 920215300 | 05 | |
| MN | BLUE CROSS/BS | 996N6AJ | 01 |
| MN | MEDICA - UBH | 61-56740 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2970 Judicial Rd, Burnsville, MN 553377820 | 9522248990 | |
| 63 Aspen Pt, Landfall Village, MN 551287111 | 6513412014 | |
| 2385 Ariel St N, Maplewood, MN 551092248 | 6515286169 | 6515286583 |
| 4201 Excelsior Blvd, St Louis Park, MN 554164728 | 9529338900 | 9529459536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631363 | Jill Colleen Adams | Social Worker | 985 Granville Road, Westfield, MA 01085 | 2018-09-06 |
| 1629526132 | Jill Marie Adams | Speech-Language Pathologist | 93 Meadow Dr, Chillicothe, OH 45601-9251 | 2016-09-13 |
| 1407255797 | Jill Catherine Adams | Contractor | N44556 Dam Rd, Delavan, WI 53115 | 2014-08-22 |
| 1023427762 | Jill Adams | Case Manager/Care Coordinator | 4500 E Cherry Creek South Dr Ste 940, Denver, CO 80246-1535 | 2014-08-06 |
| 1699928499 | Jill Marie Adams | Midwife | 711 1/2 S Prospect Ave, Clearwater, FL 33756-5629 | 2008-10-24 |
| 1497863831 | Jill Lavonne Adams | Nurse Practitioner | 1100 South Calumet Rd., Suite 2, Chesterton, IN 46304 | 2006-08-27 |
| 1316589732 | Jill Christine Adams | Nurse Practitioner | 1700 Wheeling St, Aurora, CO 80045-7211 | 2019-10-17 |
| 1114570017 | Jill Elaine Adams | Registered Nurse | 3708 20th St, Lubbock, TX 79410-1228 | 2019-07-19 |
| 1386122984 | Jill Arcement Adams | Nurse Practitioner | 4608 Highway 1, Raceland, LA 70394-2623 | 2018-08-06 |
| 1649789116 | Jill Adams | Counselor | 3625 Manchaca Rd Ste 102, Austin, TX 78704-5912 | 2017-09-27 |
| Street Address |
4201 EXCELSIOR BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417944349 | Scott M Ross | Dermatology | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2005-10-05 |
| 1538766324 | Sarah A Frid | Chiropractor | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2020-10-05 |
| 1427689637 | Greta Hazer | Acupuncturist | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2020-01-28 |
| 1902300783 | Elena Fosness | Marriage & Family Therapist | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2018-03-19 |
| 1588177109 | Boris Davydov | Physician Assistant | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2017-11-06 |
| 1255842373 | Taryn Lynne Stittleburg-devine | Chiropractor | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2017-10-16 |
| 1003298308 | Rachel Anderson | Nurse Practitioner | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2015-06-23 |
| 1174752422 | Linda Shaw Haller | Physician Assistant | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2009-07-08 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265768337 | Natalie Marie Marr | Psychologist | 6121 Excelsior Blvd, Ste 101a, St Louis Park, MN 55416-2752 | 2009-10-26 |
| 1205038387 | Alyson Mease Vanahn | Psychologist | 4240 Park Glen Rd, St Louis Park, MN 55416 | 2007-06-01 |
| 1669694550 | Deborah Bushway | Psychologist | Parkdale Plaza, 1660 South Hwy 100, St Louis Park, MN 55427 | 2007-05-02 |
| 1508988981 | Sandra Ruth Streitman | Psychologist | 9031 W 34th St, St Louis Park, MN 55426-3703 | 2007-04-04 |
| 1215055587 | Dawn Elizabeth Mcclelland | Psychologist | 1660 S Hwy 100, #428, St Louis Park, MN 55416 | 2007-03-26 |
| 1770636771 | Lydia Gail Roth-laube | Psychologist | 1660 Highway 100 S Ste 142, St Louis Park, MN 55416-1562 | 2007-01-21 |
| 1033208566 | Sharon Kay Ondich | Psychologist | 5353 Gamble Drive, Suite 108, St Louis Park, MN 55416-1539 | 2006-10-12 |
| 1013970250 | Rachel Jane Allyn | Psychologist | 4200 Minnetonka Blvd, St Louis Park, MN 55416-5191 | 2006-04-10 |
| 1275519795 | David Randal | Psychologist | Park Nicollet Clinic Idc, 3800 Park Nicollet Blvd, St Louis Park, MN 55416 | 2005-12-16 |
| 1265427629 | Renee T Vonweiss | Psychologist | 4500 Park Glen Rd, Suite 450, St Louis Park, MN 55416-4871 | 2005-09-13 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on DR. JILL MARIE ADAMS.
| 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.