ROOTS PSYCHOLOGICAL SERVICES, LLC (NPI# 1285062133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285062133 |
| Entity Type | Organization |
| Organization Name | ROOTS PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
7026 E Fish Lake Rd Maple Grove MN 55311-2832 |
| Mailing Address |
3101 Major Ave N Golden Valley MN 55422-3138 |
| Practice Telephone | 7637771105 |
| Mailing Telephone | 7634644575 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |
| Authorized Official Name | DR. CLAUDIA DAML (OWNER) |
| Authorized Official Telephone | 7634644575 |
| Authorized Official Credential | PSYD, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LP5231 | MN | Agencies |
| Street Address |
7026 E FISH LAKE RD |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55311-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1699016113 | Larae M Jome | Psychologist | 7026 E Fish Lake Rd, Maple Grove, MN 55311-2832 | 2013-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391374 | Deborah Lynn Higgins | Foster Care Agency | 8288 Revelwood Place, Maple Grove, MN 55311 | 2017-08-03 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1033571062 | Iman Dadras Konestani | Marriage & Family Therapist | 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 | 2016-03-29 |
| 1902272685 | Todd Archbold | Social Worker | 18153 80th Pl N, Maple Grove, MN 55311 | 2015-08-17 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1962670026 | Helminger Chiropractic, P.a. | Chiropractor | 9479 Garland Lane North, Maple Grove, MN 55311 | 2008-02-12 |
| 1457579450 | Cynthia C Cassel | Physician Assistant | 6300 Wedgewood Way, Maple Grove, MN 55311 | 2007-04-23 |
| 1386860732 | Thomas Triden | Chiropractor | 7494 East Fish Lake Road, Maple Grove, MN 55311 | 2007-04-17 |
| 1912053422 | Lawrence Joseph Kotok | Dentist | 16342 County Rd 30, Maple Grove, MN 55311 | 2007-01-26 |
| Find all providers in zip 55311 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528579794 | Access Behavior Services | Community/Behavioral Health | 7206 Forestview Ln N # 206, Maple Grove, MN 55369-5581 | 2017-10-16 |
| 1629502794 | Atkinson Conseling Services | Community/Behavioral Health | 10650 County Road 81, Suite 205, Maple Grove, MN 55369-4075 | 2017-04-16 |
| 1568817542 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 11670 Fountains Dr, Suite 200, Maple Grove, MN 55369 | 2016-04-27 |
| 1669845707 | Regency Home Health Care | Community/Behavioral Health | 10467 93rd Ave N, Maple Grove, MN 55369-4112 | 2015-11-12 |
| 1184988966 | Somers Psychological Services, P.a. | Community/Behavioral Health | 7225 Forestview Ln N, Maple Grove, MN 55369-5501 | 2012-06-27 |
| 1073886826 | Trellis Counseling LLC | Community/Behavioral Health | 13700 83rd Way N, 201, Maple Grove, MN 55369-7015 | 2012-02-09 |
| 1861764078 | Minnesota Counseling and Couples Center LLC | Community/Behavioral Health | 13700 83rd Way N, Suite 201, Maple Grove, MN 55369-7015 | 2012-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55311 |
Please comment or provide details below to improve the information on ROOTS PSYCHOLOGICAL SERVICES, LLC.
| 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.