NORTHERN THERAPY AND PSYCHOLOGICAL SERVICES


Address: 13750 Crosstown Dr Nw Ste L102, Andover, MN 55304-5854
Phone: 7635687622

NORTHERN THERAPY AND PSYCHOLOGICAL SERVICES (NPI# 1417461468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417461468
Entity Type Organization
Organization Name NORTHERN THERAPY AND PSYCHOLOGICAL SERVICES
Practice Address 13750 Crosstown Dr Nw Ste L102
Andover
MN 55304-5854
Mailing Address Molly Professional Building Phase 2
13750 Crosstown Drive Suite L102
Andover
MN 55403
Practice Telephone 7635687622
Practice Fax Number 7637035900
Mailing Telephone 7635687622
Mailing Fax Number 7637035900
Enumeration Date 2017-11-29
Last Update Date 2017-11-29
Authorized Official Name NATHAN VOJTECH (OWNER)
Authorized Official Telephone 7635687622
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 13750 CROSSTOWN DR NW STE L102
City ANDOVER
State MN
Zip Code 55304-5854

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1912427931 Brooke Nicole Halliday Counselor 1875 Station Pkwy Ne, Andover, MN 55304 2017-06-21
1700286903 Jari Welle, Inc. Marriage & Family Therapist 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 2014-08-26
1356765192 Cherrywood Advanced Living, LLC Assisted Living Facility 1889 139th Ave Nw, Andover, MN 55304 2014-02-14
1326462177 Cherrywood Advanced Living, LLC Assisted Living Facility 1899 139th Ave Nw, Andover, MN 55304 2014-02-14
1740619568 Delores Weikle Physical Therapist 14531 Jay St, Andover, MN 55304 2013-11-02
1730527003 Darkou Care Services Home Health 14297 Zilla Street Nw, Andover, MN 55304 2013-06-10
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740773647 Wandajune Bishop-towle Psychologist 75 Wild Rose Dr., Andover, MA 01810 2018-06-14
1427362607 Louise Ann Peterson-arnzen Psychologist 1 Elm Sq Ste 2a, Andover, MA 01810-3986 2010-07-30
1902042575 Max Alovisetti Psychologist 20 Abbot St, Andover, MA 01810-4004 2009-01-01
1003097775 Thomas Lynn Edwards Psychologist 16150 Crosstown Blvd Nw, Andover, MN 55304-2111 2007-11-21
1053420018 Richard Norman Shulik Psychologist 35 Clark Rd, Andover, MA 01810-5601 2006-08-30
1396855474 Larry L Larsen Psychologist 28 Andover Street, Andover, MA 01810 2006-08-30
1760493613 Lisa Bailyn Psychologist 3 Dundee Park, Suite 203, Andover, MA 01810-3723 2006-08-10
1760439327 Shereen M O'malley Psychologist 1875 Station Parkwaynw, Andover, MN 55304-1719 2006-05-28
1073578472 Rum River Counseling, Inc. Psychologist 2705 Bunker Lake Blvd Nw, Suite 100, Andover, MN 55304-3784 2006-04-19
1598377079 Jared Samuel Ohm Psychologist 217 W Ira Ct, Andover, KS 67002-9469 2020-08-17
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Competitor

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City ANDOVER
Zip Code 55304

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Dataset Information

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.

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