PSYCH RECOVERY, INC. (NPI# 1316189541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316189541 |
| Entity Type | Organization |
| Organization Name | PSYCH RECOVERY, INC. |
| Practice Address |
2550 University Ave W Suite 229n Saint Paul MN 55114-1052 |
| Practice Telephone | 6516453115 |
| Practice Fax Number | 6516452752 |
| Mailing Telephone | 6516453115 |
| Mailing Fax Number | 6516452752 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | SARAH ELIZABETH ANDERSON (CEO) |
| Authorized Official Telephone | 6516453115 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0813X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Geropsychiatric |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE GA | DO8695 | 01 |
| Street Address |
2550 UNIVERSITY AVE W SUITE 229N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747143 | Colleen Rae Caspers | Nurse Practitioner | 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 | 2005-08-11 |
| 1538707484 | Hannah Weaver | Nutritionist | 2550 University Ave W, Saint Paul, MN 55114-1052 | 2019-12-11 |
| 1881251114 | Miriam Rebecca Koch Gerber | Psychologist | 2550 University Ave W, Saint Paul, MN 55114-1052 | 2019-05-22 |
| 1578036042 | Sarah Lazarewicz | Social Worker | 2550 University Ave W, Saint Paul, MN 55114-1052 | 2019-01-08 |
| 1215443049 | Frederick Marcus Vickery | Counselor | 2550 University Ave W, Saint Paul, MN 55114-1052 | 2017-12-15 |
| 1790222438 | Plastic Surgery Consultants | Plastic Surgery | 2550 University Ave W, Ste 110n, Saint Paul, MN 55114-1052 | 2017-01-19 |
| 1720537350 | Kulule H Kenea | Nurse Practitioner | 2550 University Ave W, Suite 325s, Saint Paul, MN 55114-1052 | 2016-09-23 |
| 1992250187 | Erin Ziolkowski | Dietitian, Registered | 2550 University Ave W, Saint Paul, MN 55114-1052 | 2016-08-17 |
| 1396196655 | Alyssa Greene | Counselor | 2550 University Ave W, Saint Paul, MN 55114-1052 | 2016-06-28 |
| 1194174854 | Accessible Space, Inc. | Respite Care | 2550 University Ave W, Suite 330n, Saint Paul, MN 55114-1052 | 2016-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| 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 |
|---|---|---|---|---|
| 1114189123 | Aviel Goodman | Psychiatry & Neurology | 1347 Summit Ave, Saint Paul, MN 55105-2219 | 2008-06-30 |
| 1649462185 | Toni Rae Magnuson | Psychiatry & Neurology | 325 Cedar St Ste 803, Saint Paul, MN 55101-1012 | 2007-08-17 |
| 1528288552 | Steven C Miller | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102-2481 | 2007-05-01 |
| 1003907155 | Walter Kenneth Rush Iv | Psychiatry & Neurology | 275 4th St E, Saint Paul, MN 55101-1696 | 2006-09-27 |
| 1811903842 | Gregg A Horras | Psychiatry & Neurology | 360 Sherman St Ste 100, Saint Paul, MN 55102-2425 | 2006-07-31 |
| 1871566331 | Thomas G Gratzer | Psychiatry & Neurology | 2550 University Ave W Ste 229n, Saint Paul, MN 55114-1902 | 2006-02-07 |
| 1518952274 | John M Kuzma | Psychiatry & Neurology | 640 Jakcson St, Saint Paul, MN 55101 | 2005-09-19 |
| 1407201742 | Thomas Lyle Fewer | Psychiatry & Neurology | 640 Jackson St, Saint Paul, MN 55101-2502 | 2016-04-24 |
| 1124482807 | Michael Shane Farrell | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102-2481 | 2016-04-08 |
| 1174943823 | Lindsay Merriman | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102 | 2014-04-21 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
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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.