DR. CHRISTINE M ANDERSON JACOB (NPI# 1184828204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184828204 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE M ANDERSON JACOB |
| Credential | PH.D, LP |
| Practice Address |
2124 Dupont Ave S Ste 300 Minneapolis MN 55405-2735 |
| Mailing Address |
1492 Arden Pl Arden Hills MN 55112-3626 |
| Practice Telephone | 6128791010 |
| Practice Fax Number | 6128790059 |
| Mailing Telephone | 6514876303 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2015-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
4727 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2124 DUPONT AVE S STE 300 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55405-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1033673967 | Amy Fitzgerald | Counselor | 2915 South Wayzata Boulevard, Minneapolis, MN 55405 | 2019-01-24 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1154786523 | Sophia Bouwens | Acupuncturist | 275 Market St Ste 409, Minneapolis, MN 55405 | 2015-12-29 |
| 1912362732 | Anna Needham | Acupuncturist | 2200 Hennepin Ave S, Minneapolis, MN 55405 | 2015-12-21 |
| 1821423740 | Aja Dionna King | Counselor | 227 Colfax Ave N Ste 15, Minneapolis, MN 55405 | 2013-09-10 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1396022117 | Sharri Peterson Rogers | Marriage & Family Therapist | 2809 South Wayzata Blvd, Minneapolis, MN 55405 | 2011-11-08 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in zip 55405 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1679134373 | Lindsay Elissa Holt | Psychologist | 825 Nicollet Mall Ste 1455, Minneapolis, MN 55402-2703 | 2019-06-24 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1144706094 | Adrienne Sharma | Psychologist | 708 North 1st Street, Suite #242, Minneapolis, MN 55401 | 2018-07-13 |
| 1487156618 | Mercer Psychological Services Pllc | Psychologist | 410 E 48th St Ste 3, Minneapolis, MN 55419-5651 | 2018-03-04 |
| 1285166355 | Ross E Gubrud | Psychologist | 4421 Ellsworth Dr, Minneapolis, MN 55435-4149 | 2017-03-29 |
| 1144629403 | Donna Kulakowski | Psychologist | 3108 Hennepin Ave # 1, Minneapolis, MN 55408-2619 | 2014-08-22 |
| 1245644582 | Anshan Eckard | Psychologist | 128 Pleasant St Se, Appleby Hall, Minneapolis, MN 55455-0434 | 2014-06-14 |
| 1891122628 | John T Landry | Psychologist | 5325 Grand Ave S, Minneapolis, MN 55419-1358 | 2013-10-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55405 |
Please comment or provide details below to improve the information on DR. CHRISTINE M ANDERSON JACOB.
| 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.