NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC. (NPI# 1164711735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164711735 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC. |
| Practice Address |
516 Mission House Ln New Brighton MN 55112-2571 |
| Practice Telephone | 6516365120 |
| Practice Fax Number | 6516365124 |
| Mailing Telephone | 6516365120 |
| Mailing Fax Number | 6516365124 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | MARK ELMER SUNDBY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6516365120 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP4223 | MN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
LP0816 | MN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
LP5213 | MN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MN06627 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP4114 | MN | Behavioral Health & Social Service Providers |
| Street Address |
516 MISSION HOUSE LN |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558321 | Daniel Elenz | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2020-11-06 |
| 1356826325 | Kelly Jordan | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2018-09-26 |
| 1124408570 | Marina Rosenthal | Counselor | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2015-06-01 |
| 1801161641 | Caroline A Burke | Specialist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2012-03-13 |
| 1447521356 | Shane Raymond Long | Marriage & Family Therapist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2012-01-24 |
| 1033401542 | Mary Lou Honstead | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2011-05-03 |
| 1710278502 | Mark Elmer Sundby | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313839 | Kim Contardi Pareigat | Psychologist | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2005-11-18 |
| 1417558321 | Daniel Elenz | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2020-11-06 |
| 1033401542 | Mary Lou Honstead | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2011-05-03 |
| 1710278502 | Mark Elmer Sundby | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2011-04-27 |
| 1922130053 | Joseph Michael Biancardi | Psychologist | 1405 Silver Lake Rd Nw, New Brighton, MN 55112-9301 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
| 1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
| 1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
| 1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
| 1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
Please comment or provide details below to improve the information on NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC..
| 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.