RECOVERY PARTNERS, PC AT PLYMOUTH (NPI# 1376902999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376902999 |
| Entity Type | Organization |
| Organization Name | RECOVERY PARTNERS, PC AT PLYMOUTH |
| Practice Address |
11505 36th Ave N Plymouth MN 55441-2304 |
| Practice Telephone | 6512134286 |
| Mailing Telephone | 6512134286 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | DR. MARVIN SEPPALA (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6512134825 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
11505 36TH AVE N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609924216 | Tim Richard Portinga | Psychologist | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2007-01-08 |
| 1619500600 | Dave R Bjorklund | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2020-02-18 |
| 1588295208 | Venessa Ferrier | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2020-01-31 |
| 1710488655 | Sarah Schwalbach | Marriage & Family Therapist | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2018-02-26 |
| 1194195248 | Heidi Bausch | Student in an Organized Health Care Education/Training Program | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2015-10-01 |
| 1720457526 | Nicole Steil | Student in an Organized Health Care Education/Training Program | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2015-09-22 |
| 1700283025 | Julia Edelman | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2014-12-02 |
| 1881010114 | Nora Durkin | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2014-03-11 |
| 1548696602 | David Matthew Wells | Psychologist | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2013-09-20 |
| 1285069880 | Kara Goldmann | Student in an Organized Health Care Education/Training Program | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2013-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851448146 | Growth Works, Inc | Psychologist | 271 S Main Street, Plymouth, MI 48170 | 2007-01-05 |
| 1114967361 | Stephen Hibbard | Psychologist | 496 W Ann Arbor Trl, Suite 108, Plymouth, MI 48170-6262 | 2006-06-07 |
| 1477686178 | Jordon Nicole Trombley | Psychologist | 271 S Main St, Plymouth, MI 48170-1637 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999546 | Serenity Behavioral Health & Wellness, LLC | Psychologist | 18318 Lansford Path, Lakeville, MN 55044-4955 | 2020-07-17 |
| 1285290072 | Summit Clinics Pllc | Psychologist | 2115 County Road D E Ste C, Maplewood, MN 55109-5353 | 2019-05-16 |
| 1013357797 | Kari Michelle-ferber Maynard | Psychologist | 520 2nd Ave Se, Pine City, MN 55063-1505 | 2013-06-26 |
| 1982917415 | Jeffrey Hill | Psychologist | 1056 Centerville Cir, Vadnais Heights, MN 55127-6360 | 2010-07-26 |
| 1053631622 | Heather J Johnson | Psychologist | 4601 Excelsior Blvd Ste 411, St Louis Park, MN 55416-4977 | 2010-06-07 |
| 1144495391 | David Edward Schlack | Psychologist | 1326 East Ripley Street, Litchfield, MN 55355 | 2008-04-29 |
| 1104974674 | Susan Marie Hoisington | Psychologist | 2120 Park Ave, Minneapolis, MN 55404-3378 | 2007-01-08 |
| 1902902638 | Sharon Stein Mcnamara Ed D Psychology Inc | Psychologist | 4700 Lexington Ave N Ste B1a, Shoreview, MN 55126-5867 | 2006-09-16 |
| 1235240284 | Ann Virginia Hobbick | Psychologist | 7590 Lyric Lane Ne, Unity Hosptial, Fridley, MN 55432 | 2006-08-31 |
| 1942221080 | Innovative Psychological Consultants, LLC | Psychologist | 7372 Kirkwood Ct, Maple Grove, MN 55369-5202 | 2006-07-22 |
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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.