HEALTH CARE PSYCHOLOGY, PA (NPI# 1356586457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356586457 |
| Entity Type | Organization |
| Organization Name | HEALTH CARE PSYCHOLOGY, PA |
| Practice Address |
20 Lake St N Suite 320 Forest Lake MN 55025-2523 |
| Practice Telephone | 6514646900 |
| Practice Fax Number | 6514646333 |
| Mailing Telephone | 6514646900 |
| Mailing Fax Number | 6514646333 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |
| Authorized Official Name | DR. STANLEY C FERNEYHOUGH (PRESIDENT) |
| Authorized Official Telephone | 6514646900 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | LP1901 | MN | Behavioral Health & Social Service Providers |
| Street Address |
20 LAKE ST N SUITE 320 |
| City | FOREST LAKE |
| State | MN |
| Zip Code | 55025-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437254455 | Scott R Telander | Optometrist | 20 Lake St N, Suite 101, Forest Lake, MN 55025-2523 | 2006-09-14 |
| 1831596709 | Counseling & Mediation Solutions | Community/Behavioral Health | 20 Lake St N, Suite 306, Forest Lake, MN 55025-2523 | 2014-11-20 |
| 1386872281 | Fairview Express Care | Clinic/Center | 20 Lake St N, Ste 210, Forest Lake, MN 55025-2511 | 2009-06-30 |
| 1467691881 | Susan Kreulen | Social Worker | 20 Lake St N, Suite 210, Forest Lake, MN 55025-2523 | 2009-02-09 |
| 1538334842 | Fairview Health Services | Clinic/Center | 20 Lake St N, Ste 210, Forest Lake, MN 55025-2523 | 2008-04-28 |
| 1932370475 | Thomas Scott Turry | Dentist | 20 Lake St N, Suite 205, Forest Lake, MN 55025-2523 | 2008-03-12 |
| 1548317571 | Andrew Lf Hegstad | Dentist | 20 Lake St N, Suite #311, Forest Lake, MN 55025-2523 | 2007-01-04 |
| 1053473835 | Forest Lake Optometric Center | Optometrist | 20 Lake St N, Forest Lake, MN 55025-2523 | 2006-12-15 |
| 1558423731 | Kevin Lee Bahr | Optometrist | 20 Lake St N, #104, Forest Lake, MN 55025-2523 | 2006-12-14 |
| 1851463806 | Thomas S Turry Pa | Dentist | 20 Lake St N, Suite 205, Forest Lake, MN 55025-2523 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302228 | Jsr Neuropsychological Services Pllc | Clinical Neuropsychologist | 3209 W 76th St Ste 207, Edina, MN 55435-5246 | 2020-10-09 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1013557057 | Erik De Water | Clinical Neuropsychologist | 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 | 2020-01-07 |
| 1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
| 1285118687 | Chimei M Lee | Clinical Neuropsychologist | 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 | 2018-09-20 |
| 1861990012 | Susan Mcpherson Phd Abpp Lp LLC | Clinical Neuropsychologist | 6550 York Ave S Ste 419, Edina, MN 55435-2335 | 2018-01-23 |
| 1609399153 | Sheryl Jayne Pleiss | Clinical Neuropsychologist | 6640 Shady Oak Rd Ste 375, Eden Prairie, MN 55344-7834 | 2017-07-17 |
| 1598204869 | Adam Piccolino | Clinical Neuropsychologist | 11800 Singletree Ln Ste 203, Eden Prairie, MN 55344-5397 | 2017-02-19 |
| 1770832875 | Allen Stock | Clinical Neuropsychologist | 3320 Walnut Grove Ln N, Plymouth, MN 55447-1026 | 2012-09-05 |
| 1962750026 | Paul Marshall LLC | Clinical Neuropsychologist | 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 | 2012-08-21 |
| Find all providers with the same taxonomy | ||||
| City | FOREST LAKE |
| Zip Code | 55025 |
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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.