CARRIE J CHOMICZ (NPI# 1134220395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134220395 |
| Entity Type | Individual |
| Full Name | CARRIE J CHOMICZ |
| Credential | PSYD LP |
| Practice Address |
Range Mental Health Center Perpich Building 3203 W 3rd Ave Hibbing MN 55746 |
| Mailing Address |
621 W Lake St Ste 350 Minneapolis MN 55408-2952 |
| Practice Telephone | 2182639237 |
| Practice Fax Number | 2182623150 |
| Mailing Telephone | 2182639237 |
| Mailing Fax Number | 2182623150 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4616 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 837992100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 480 Osborne Rd Ne Ste 260, Fridley, MN 554322866 | 7632363800 | 7632363821 |
| Street Address |
RANGE MENTAL HEALTH CENTER PERPICH BUILDING 3203 W 3RD AVE |
| City | HIBBING |
| State | MN |
| Zip Code | 55746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912008152 | Molly S Fritz-beckers | Clinical Nurse Specialist | Range Mental Health Center Perpich Building, 3203 W 3rd Ave, Hibbing, MN 55746 | 2006-09-26 |
| 1497856736 | Jacqueline A Marchetti | Registered Nurse | Range Mental Health Center Perpich Building, 3203 W 3rd Ave, Hibbing, MN 55746 | 2006-09-26 |
| 1396846531 | Dawn Bremer Jenkins | Social Worker | Range Mental Health Center Perpich Building, 3203 W 3rd Ave, Hibbing, MN 55746 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594753 | Brekke Lee Johnsrud | Dentist | 2020 1st Avenue, Hibbing, MN 55746 | 2018-07-04 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1467870485 | Angela Wivoda | Contractor | 302 East Howard Street, Suite 310, Hibbing, MN 55746 | 2014-04-07 |
| 1871897512 | Nicholas G Ongaro | Chiropractor | 4104 9th Ave W, Hibbing, MN 55746 | 2011-01-10 |
| 1689800153 | Kathleen M Delgreco | Social Worker | 3203 W. 3rd Ave, Hibbing, MN 55746 | 2009-06-10 |
| 1962666461 | Sereen Danielle Sharp | Internal Medicine | 3605 Mayfair Avenue, Hibbing, MN 55746 | 2008-07-14 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1598985517 | Renee Cook | Psychiatry & Neurology | 3203 W. 3rd Ave., Range Mental Health Center-perpich Building, Hibbing, MN 55746 | 2007-05-01 |
| 1841318599 | Nathan Pedersen | Dentist | 802 W 42nd St, Hibbing, MN 55746 | 2007-03-27 |
| 1558406355 | Michael John Quirk | Chiropractor | 1406 East 40th St, Hibbing, MN 55746 | 2007-02-20 |
| Find all providers in zip 55746 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457597478 | Stephen Joseph Ward | Psychologist | 402 E Howard St, Suite 16, Hibbing, MN 55746-1759 | 2008-12-22 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1225139611 | John W Selden | Psychologist | 3203 W 3rd Ave, Range Mental Health Center Inc Perpich Building, Hibbing, MN 55746 | 2006-09-26 |
| 1962503110 | Gary D Eustice | Psychologist | 302 E Howard St, Suite 309, Hibbing, MN 55746-1772 | 2006-09-26 |
| 1881826915 | Victoria M. Othon | Psychologist | 3203 W. 3rd Ave., Hibbing, MN 55746 | 2009-08-24 |
| 1174738215 | Sampson Pa | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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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.