ST. DAVID'S CENTER (NPI# 1376752337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376752337 |
| Entity Type | Organization |
| Organization Name | ST. DAVID'S CENTER |
| Other Organization Name | ST. DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT |
| Practice Address |
3395 Plymouth Rd Minnetonka MN 55305-3765 |
| Practice Telephone | 9529390396 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-05-01 |
| Authorized Official Name | JULIE SJORDAL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9525488670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 426345600 | 05 |
| Other Name | Type Code |
|---|---|
| St. David's Center for Child & Family Development | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790211373 | St. David's Center | Community/Behavioral Health | 8800 Highway 7, St Louis Park, MN 55426-3908 | 2017-05-03 |
| 1255748984 | St. David's Center | Clinic/Center | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2014-07-15 |
| 1669794988 | St. David's Center | Case Management | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2010-03-01 |
| 1851553838 | St. David's Center | Early Intervention Provider Agency | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2008-06-30 |
| 1487816468 | St. David's Center | Community/Behavioral Health | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2008-06-30 |
| Street Address |
3395 PLYMOUTH RD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134108517 | Elina Kotlyar | Speech-Language Pathologist | 3395 Plymouth Rd, Minnetonka, MN 55305 | 2006-01-13 |
| 1053919605 | Ana Mcrae | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2020-10-15 |
| 1306454012 | Alyssa Egersett | Counselor | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2020-07-20 |
| 1558979542 | Kathleen Combs | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2020-07-16 |
| 1558980334 | Kaitlin Bach | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2020-04-13 |
| 1497302293 | Mackenzie Gluek Kelley | Occupational Therapist | 3395 Plymouth Rd, Minnetonka, MN 55305-3633 | 2019-08-26 |
| 1538725064 | Katherine Margaret Schmitz | Speech-Language Pathologist | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2019-05-09 |
| 1336702901 | Megan Leigh Schlegel | Speech-Language Pathologist | 3395 Plymouth Rd, Minnetonka, MN 55305-3633 | 2019-04-18 |
| 1912470261 | Erin Leigh Meyer Stamp | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2019-01-09 |
| 1932672565 | Karen James | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390573 | Ashley In Hye Nelson | Counselor | 10641 Greenbrier Rd Apt 201, Minnetonka, MN 55305-3466 | 2020-09-09 |
| 1568001063 | Accra Care | Counselor | 12600 Whitewater Dr Ste 100, Minnetonka, MN 55343-9450 | 2019-12-31 |
| 1588122063 | Turnage Therapeutic Services Inc | Counselor | 200 Hopkins Xrd, Minnetonka, MN 55305-1461 | 2019-03-04 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1326446998 | Enakshi Choudhuri | Counselor | 14525 Highway 7 Ste 255, Minnetonka, MN 55345-3747 | 2014-12-15 |
| 1811136021 | Elizabeth 'emma' Nadler | Counselor | 13100 Wayzata Blvd Ste 400, Minnetonka, MN 55305-1821 | 2009-02-11 |
| 1518162684 | Partners In Healing of Minneapolis, LLC | Counselor | 10505 Wayzata Blvd., Suite #200, Minnetonka, MN 55305-5507 | 2007-06-19 |
| 1528666898 | Izaak River Davison-kerwood | Counselor | 13100 Wayzata Blvd, Minnetonka, MN 55305-1802 | 2020-10-09 |
| 1538716873 | Leslie Erin Burnett | Counselor | 13100 Wayzata Blvd, Minnetonka, MN 55305-1802 | 2019-08-21 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on ST. DAVID'S CENTER.
| 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.