DR. JODI JANICE BARSTOW BOOS-BLASZYK (NPI# 1205294949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205294949 |
Entity Type | Individual |
Full Name | DR. JODI JANICE BARSTOW BOOS-BLASZYK |
Credential | PSYD |
Practice Address |
701 Dellwood St S Cambridge MN 55008-1920 |
Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
Practice Telephone | 6122621166 |
Mailing Telephone | 6122625000 |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
36140 | TX | Behavioral Health & Social Service Providers |
Street Address |
701 DELLWOOD ST S |
City | CAMBRIDGE |
State | MN |
Zip Code | 55008-1920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093787152 | Randy A Karger | Ophthalmology | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2006-02-03 |
1629615778 | Elizabeth Horn | Physical Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-09 |
1982241170 | Jessica Gunion | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
1629615844 | Darren Vincent Rudeen | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
1881239325 | Lori Lynn Adams | Nurse Anesthetist, Certified Registered | 701 Dellwood St S, Cambridge, MN 55008-1923 | 2019-11-07 |
1396386173 | Allina Health System | Psychologist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-10-03 |
1568013118 | Kimberly Jara | Counselor | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-09-25 |
1093360877 | Michelle Kay Schultz | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-08-07 |
1184284366 | Abigail Irene Christensen | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-06-19 |
1093270621 | Angelique Ann Creger | Occupational Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-02-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
Find all providers in zip 55008 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
1881216588 | Massomeh Namavar | Psychologist | 221 Mount Auburn St Apt 104, Cambridge, MA 02138-4848 | 2020-05-15 |
1396367736 | Laura Genelle Meza Valencia | Psychologist | One Mifflin Place, Suite 400, Cambridge, MA 02138-4946 | 2020-05-07 |
1033672100 | Dr Kerrie LLC | Psychologist | 10 Hawthorne Park, Cambridge, MA 02138-2104 | 2019-04-07 |
1912481227 | Mary E. Ford | Psychologist | 195 Harvey St, Cambridge, MA 02140-1765 | 2018-09-21 |
1871089227 | Ellsworth Fersch | Psychologist | 70 Richdale Ave Apt 2, Cambridge, MA 02140-2640 | 2018-07-09 |
1134610751 | Jill Hooley | Psychologist | 33 Kirkland St, Cambridge, MA 02138-2044 | 2018-05-21 |
1053836080 | Kim Michael Woynowskie Jr. | Psychologist | 625 Mount Auburn St Ste 102, Cambridge, MA 02138-4555 | 2017-08-10 |
1306383351 | Elise I Welton | Psychologist | 22 Water St, Apt. 411, Cambridge, MA 02141-1257 | 2017-01-30 |
1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
Find all providers in CAMBRIDGE |
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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.