ELLEN S. TEIGLAND, L.P.,P.A.


Address: 520 Nw 1st Ave, Grand Rapids, MN 55744-2619
Phone: 2183267089

ELLEN S. TEIGLAND, L.P.,P.A. (NPI# 1427243005) 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) 1427243005
Entity Type Organization
Organization Name ELLEN S. TEIGLAND, L.P.,P.A.
Practice Address 520 Nw 1st Ave
Grand Rapids
MN 55744-2619
Mailing Address Po Box 794
Grand Rapids
MN 55744-0794
Practice Telephone 2183267089
Practice Fax Number 2183264714
Mailing Telephone 2183267089
Mailing Fax Number 2183264714
Enumeration Date 2007-09-07
Last Update Date 2007-09-07
Authorized Official Name MRS. ELLEN S TEIGLAND (OWNER)
Authorized Official Telephone 2183267089
Authorized Official Credential L.P.,P.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP2283 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BLUE CROSS OF MINNESOTA 69711TE 01

Office Location

Street Address 520 NW 1ST AVE
City GRAND RAPIDS
State MN
Zip Code 55744-2619

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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]

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Competitor

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City GRAND RAPIDS
Zip Code 55744

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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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