DR. DIANE KAY FELTON (NPI# 1235200791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235200791 |
| Entity Type | Individual |
| Full Name | DR. DIANE KAY FELTON |
| Other Name | DIANE KAY SANDRUM |
| Credential | PHD, LP |
| Practice Address |
6120 Earle Brown Dr Suite 520 Brooklyn Center MN 55430-2123 |
| Practice Telephone | 7635310566 |
| Practice Fax Number | 7635310602 |
| Mailing Telephone | 7635310566 |
| Mailing Fax Number | 7635310602 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP1489 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP1489 | MN | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
LP1489 | MN | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
LP1489 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUECROSSBLUESHIELD | 4H026FE | 01 |
| MN | 193852500 | 05 | |
| MN | UCARE | 104655 | 01 |
| MN | HEALTHPARTNERS | HP35175 | 01 |
| MN | MEDICA | 61-12600 | 01 |
| Street Address |
6120 EARLE BROWN DR SUITE 520 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679536973 | Kirsten Elizabeth Jankovich | Marriage & Family Therapist | 6120 Earle Brown Dr, Suite 520, Brooklyn Center, MN 55430-2123 | 2006-04-08 |
| 1760929251 | Rescareminnesota, Inc. | Community/Behavioral Health | 6120 Earle Brown Dr, Suite 100, Brooklyn Center, MN 55430-2123 | 2017-01-23 |
| 1154743789 | Amy Pickering | Counselor | 6120 Earle Brown Dr, Suite Number 210, Brooklyn Center, MN 55430-2123 | 2014-01-16 |
| 1427274083 | Tammy Lynn Wood-behnke | Counselor | 6120 Earle Brown Dr, Brooklyn Center, MN 55430-2123 | 2007-04-18 |
| 1831213420 | Christian Recovery Center | Counselor | 6120 Earle Brown Dr, Suite 200, Brooklyn Center, MN 55430-2123 | 2007-03-19 |
| 1588722524 | Spencer Olson | Psychologist | 6120 Earle Brown Dr, Suite 520, Brooklyn Center, MN 55430-2123 | 2006-12-04 |
| 1750458899 | Rochelle J Brandl | Psychologist | 6120 Earle Brown Dr, Suite 520, Brooklyn Center, MN 55430-2123 | 2006-11-30 |
| 1699846154 | Thomas Arthur Breitenbucher | Counselor | 6120 Earle Brown Dr, Suite 520, Brooklyn Center, MN 55430-2123 | 2006-11-13 |
| 1356412498 | Dorothy Sue Edelson | Counselor | 6120 Earle Brown Dr, Ste. 520, Brooklyn Center, MN 55430-2123 | 2006-11-12 |
| 1568403897 | Michael Allen Guymon | Social Worker | 6120 Earle Brown Dr, Ste 210, Brooklyn Center, MN 55430 | 2006-06-09 |
| Find all providers in the same location | ||||
| 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 | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405202 | Q Collective, LLC | Psychologist | 3413 Wilshire Pl Ne, Minneapolis, MN 55418-1447 | 2019-03-09 |
| 1043714199 | Julianna Sapienza | Psychologist | 2545 Chicago Ave Ste 217, Minneapolis, MN 55404-4556 | 2018-03-22 |
| 1942758701 | Dana Hoehn | Psychologist | 4636 Lyndale Ave S, Lower Unit, Minneapolis, MN 55419-5302 | 2016-09-21 |
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1861737041 | Decisionpoint Behavioral Health, Inc. | Psychologist | 206 S Broadway, Suite 411a, Rochester, MN 55904-6502 | 2012-11-29 |
| 1063725166 | Thomas Robert Lutz | Psychologist | 1125 Ramsey St, Hastings, MN 55033-2811 | 2010-07-17 |
| 1366755597 | Kristin L Ballard | Psychologist | 4005 W 65th St Ste 110, Edina, MN 55435-1700 | 2010-07-16 |
| 1316180011 | Brenda Diane Brant | Psychologist | 18473 97th Pl N, Maple Grove, MN 55311-1368 | 2009-04-09 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| 1710196522 | Bill J Duke | Psychologist | 420 Center Ave Ste 7, Moorhead, MN 56560-1962 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
Please comment or provide details below to improve the information on DR. DIANE KAY FELTON.
| 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.