ELAINE VIVIAN HUSELID


Address: 14579 Grand Ave, Suite 200, Burnsville, MN 55306-5702
Phone: 9527973169

ELAINE VIVIAN HUSELID (NPI# 1316000797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316000797
Entity Type Individual
Full Name ELAINE VIVIAN HUSELID
Credential M.ED
Practice Address 14579 Grand Ave
Suite 200
Burnsville
MN 55306-5702
Mailing Address 1641 W 140th St
Burnsville
MN 55337-4418
Practice Telephone 9527973169
Practice Fax Number 9524261725
Mailing Telephone 9527973169
Mailing Fax Number 9524261725
Enumeration Date 2006-12-18
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TC1900X Psychologist
Specialization: Counseling
3047 MN Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
6542 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN UBH PROVIDER # 62-37268 01
MN BHP PROVIDER # 01020012 01
MN BCBS PROVIDER # 14D35HU AND 14D36HU 01
MN HEALTH PARTNER'S PROVIDER HP 28356 01

Office Location

Street Address 14579 GRAND AVE
SUITE 200
City BURNSVILLE
State MN
Zip Code 55306-5702

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NPI Name Taxonomy Address Enumeration
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1639717986 Kaylee Nadine Frederickson Speech-Language Pathologist 14451 Grand Ave S, Burnsville, MN 55306 2019-12-17
1780236893 Nichole Arn Occupational Therapist 14301 Ewing Avenue, Burnsville, MN 55306 2019-07-10
1942708516 Nicholas John Solverson Chiropractor 14671 Chicago Ave Apt 6, Burnsville, MN 55306 2018-01-29
1164978672 Benjamin Halpern Dentist 14344 Burnhaven Drive, Burnsville, MN 55306 2016-08-26
1528478336 Michael Patrick Hennes Chiropractor 14587 Grand Ave Ste 112, Burnsville, MN 55306 2014-05-01
1467799924 Dentalign, Pa Dentist 2999 County Road 42 W Suite 138, Burnsville, MN 55306 2013-01-03
1417205436 Heather Heide Student in an Organized Health Care Education/Training Program 14750 Lac Lavon Dr, Burnsville, MN 55306 2012-08-23
1427243898 Rehana Leila Ahmed-saucedo Dermatology 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 2007-09-10
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497355275 Paul Franklin Singh Psychologist 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 2020-10-29
1225115504 Alrene E Obrien Finn Psychologist 14851 Grand Ave S, Ste 203, Burnsville, MN 55306 2006-11-01
1922182047 Patricia Joan Voss Psychologist 14581 Grand Ave S, Suite 205, Burnsville, MN 55306 2006-10-25
1366536443 Kathryn Lenarz Cashman Psychologist 2970 Judicial Rd Ste 100, Burnsville, MN 55337-7822 2006-10-03
1669464905 John Mark Prichard Psychologist 1500 Mcandrews Rd W, Suite 209, Burnsville, MN 55337-4432 2005-08-22
1114925468 John M Gessner Psychologist 2960 Judicial Rd, S 210, Burnsville, MN 55337-5507 2005-07-11
1205307659 Shannon Marie Goecke-watson Psychologist 2970 Judicial Rd Ste 100, Burnsville, MN 55337-7822 2018-12-11

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NPI Name Taxonomy Address Enumeration
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1295357440 Pure Potential Counseling Psychologist 18685 Dylan Dr, Farmington, MN 55024-7070 2020-05-11
1871115337 Melissa Jean King Psychologist 205 W 2nd St Ste 437, Duluth, MN 55802-1922 2020-05-07
1841811296 Kristen Math X Psychologist 1603 Pebble Creek Dr, Sartell, MN 56377-4538 2020-04-27
1245859982 Thomas Allen Psychologist 12 Valley View Pl, Mankato, MN 56001-2500 2020-04-13
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1457999500 Megan Robb Psychologist 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 2019-12-18
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Competitor

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City BURNSVILLE
Zip Code 55306

Improve Information

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Dataset Information

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.

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