OSETOHAMEN ELIZABETH AGENE (NPI# 1225673411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225673411 |
Entity Type | Individual |
Full Name | OSETOHAMEN ELIZABETH AGENE |
Credential | CNP |
Practice Address |
5701 Shingle Creek Pkwy Ste 115 Minneapolis MN 55430-2485 |
Practice Telephone | 7632085880 |
Mailing Telephone | 7636479868 |
Enumeration Date | 2019-11-12 |
Last Update Date | 2020-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2020045045 | MN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
12884 Legacy Creek Pkwy Ne, Blaine, MN 554494001 | 7636479868 |
Street Address |
5701 SHINGLE CREEK PKWY STE 115 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55430-2485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
Find all providers in zip 55430 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588277677 | Emily Tonkin, LLC | Psychiatry & Neurology | 825 Nicollet Mall Ste 1246, Minneapolis, MN 55402-2702 | 2020-08-28 |
1770120933 | Dr. Lisa Etherapy | Psychiatry & Neurology | 3539 Douglas Dr N, Minneapolis, MN 55422-2415 | 2019-12-06 |
1295198539 | Daniel Janiczak | Psychiatry & Neurology | 701 Park Ave. B5 118, Hencepin County Medical Center Department of Psychiatry, Minneapolis, MN 55415 | 2016-04-04 |
1235554387 | William Spring Md LLC | Psychiatry & Neurology | 4826 Chicago Ave Ste 208, Minneapolis, MN 55417-1063 | 2014-02-26 |
1649607482 | David Joseph Bond | Psychiatry & Neurology | 2450 Riverside Avenue Se Psychiatry Clinic, University of Minnesota Medical Centre, Fairview, Minneapolis, MN 55454 | 2013-10-10 |
1467713610 | Akinkunmi O Oladiran | Psychiatry & Neurology | 800 E 28th St # Mr 12405, Minneapolis, MN 55407-3723 | 2012-06-05 |
1528387784 | Stamatis Andreas Zeris | Psychiatry & Neurology | 701 Park Ave # S6, Minneapolis, MN 55415-1623 | 2010-05-26 |
1821233321 | Deborah Eve Pollak | Psychiatry & Neurology | 152 Bank St Se, Minneapolis, MN 55414-1033 | 2008-12-11 |
1154589257 | Michael Condi Ct Moore | Psychiatry & Neurology | 825 Nicollet Mall Ste 1950, Minneapolis, MN 55402-2707 | 2008-05-27 |
1972779759 | Danielle Brooke Morgan-goerke | Psychiatry & Neurology | F282/2a West 2450 Riverside Ave., Minneapolis, MN 55454 | 2008-05-01 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55430 |
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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.