JUDY D SIEMS (NPI# 1154603116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154603116 |
| Entity Type | Individual |
| Full Name | JUDY D SIEMS |
| Credential | PHD LADC |
| Practice Address |
1615 Archwood Rd Minnetonka MN 55305 |
| Mailing Address |
1615 Archwood Rd Minnetonka MN 55305-2149 |
| Practice Telephone | 6129986640 |
| Mailing Telephone | 6129986640 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
300804 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1615 ARCHWOOD RD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999546 | Serenity Behavioral Health & Wellness, LLC | Psychologist | 18318 Lansford Path, Lakeville, MN 55044-4955 | 2020-07-17 |
| 1285290072 | Summit Clinics Pllc | Psychologist | 2115 County Road D E Ste C, Maplewood, MN 55109-5353 | 2019-05-16 |
| 1013357797 | Kari Michelle-ferber Maynard | Psychologist | 520 2nd Ave Se, Pine City, MN 55063-1505 | 2013-06-26 |
| 1982917415 | Jeffrey Hill | Psychologist | 1056 Centerville Cir, Vadnais Heights, MN 55127-6360 | 2010-07-26 |
| 1053631622 | Heather J Johnson | Psychologist | 4601 Excelsior Blvd Ste 411, St Louis Park, MN 55416-4977 | 2010-06-07 |
| 1144495391 | David Edward Schlack | Psychologist | 1326 East Ripley Street, Litchfield, MN 55355 | 2008-04-29 |
| 1104974674 | Susan Marie Hoisington | Psychologist | 2120 Park Ave, Minneapolis, MN 55404-3378 | 2007-01-08 |
| 1902902638 | Sharon Stein Mcnamara Ed D Psychology Inc | Psychologist | 4700 Lexington Ave N Ste B1a, Shoreview, MN 55126-5867 | 2006-09-16 |
| 1235240284 | Ann Virginia Hobbick | Psychologist | 7590 Lyric Lane Ne, Unity Hosptial, Fridley, MN 55432 | 2006-08-31 |
| 1942221080 | Innovative Psychological Consultants, LLC | Psychologist | 7372 Kirkwood Ct, Maple Grove, MN 55369-5202 | 2006-07-22 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on JUDY D SIEMS.
| 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.