CHARLES A KOCH (NPI# 1346308038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346308038 |
| Entity Type | Individual |
| Full Name | CHARLES A KOCH |
| Credential | MA, LP |
| Practice Address |
6900 78th Ave N Brooklyn Park MN 55445-2719 |
| Mailing Address |
3300 Terrace Ln Golden Valley MN 55422-3844 |
| Practice Telephone | 7635604412 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1250 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134293442 | Charles Bernard Koch II | Chiropractor | 1144 Willagillespie Rd, #31, Eugene, OR 97401-6722 | 2006-11-20 |
| 1003183815 | Charles E Koch Jr. | Pharmacist | 1070 New Holland Ave, Lancaster, PA 17601-5606 | 2011-11-22 |
| 1841591070 | Charles J Koch | Counselor | 50 Moody St, Saco, ME 04072-1536 | 2010-11-04 |
| Street Address |
6900 78TH AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55445-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396724738 | Planned Parenthood Minnesota, North Dakota, South Dakota | Specialist | 6900 78th Ave N, Suite 103, Brooklyn Park, MN 55445-2719 | 2006-01-13 |
| 1477151165 | Nathan Murphy | Behavior Technician | 6900 78th Ave N, Brooklyn Park, MN 55445-2719 | 2020-10-14 |
| 1235791500 | Bailey Smith | Behavior Technician | 6900 78th Ave N, Brooklyn Park, MN 55445-2719 | 2019-07-08 |
| 1548822380 | Kelly Berth | Behavior Technician | 6900 78th Ave N, Brooklyn Park, MN 55445-2719 | 2019-07-02 |
| 1225504095 | Kasey Nicole Aune | Behavioral Analyst | 6900 78th Ave N, Brooklyn Park, MN 55445-2719 | 2018-10-19 |
| 1982055778 | Nancy Avila | Social Worker | 6900 78th Ave N, Brooklyn Park, MN 55445-2719 | 2016-06-23 |
| 1124259205 | Sonja Marie Sharp | Nurse Practitioner | 6900 78th Ave N, #103, Brooklyn Park, MN 55445-2719 | 2009-08-06 |
| 1902059751 | Stephanie Anne Brace | Marriage & Family Therapist | 6900 78th Ave N, Brooklyn Park, MN 55445-2719 | 2008-10-24 |
| 1912103110 | Seema K Kamath | Social Worker | 6900 78th Ave N, Brooklyn Park, MN 55445-2719 | 2007-06-25 |
| 1346307873 | Stacey Lynn Wolfgram | Marriage & Family Therapist | 6900 78th Ave N, Brooklyn Park, MN 55445-2719 | 2007-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1578001178 | Peaceful Living Professionals, LLC | Community/Behavioral Health | 6901 78th Ave No, Suite 102, Brooklyn Park, MN 55445 | 2017-02-03 |
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
| 1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700155397 | Hope Recovery Clinic | Psychologist | 8525 Edinbrook Xing, Suite 3, Brooklyn Park, MN 55443-1900 | 2011-12-28 |
| 1699058503 | Joni C. Charbonneau | Psychologist | 8742 Montegue Ter, Brooklyn Park, MN 55443-3701 | 2011-09-27 |
| 1669490066 | Carolyn Dorothy Parsons | Psychologist | 7040 Lakeland Ave North, #208 Parsons Psychological Services, LLC, Brooklyn Park, MN 55428 | 2006-07-17 |
| 1598917692 | Bethany Lou Fiebelkorn Kennedy | Psychologist | 7650 Zane Ave N, Brooklyn Park, MN 55443-3151 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
| 1730716994 | Tamolyn Patterson Benke | Psychologist | 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 | 2020-03-26 |
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
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| City | BROOKLYN PARK |
| Zip Code | 55445 |
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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.