CHILDRENS HEALTH CARE (NPI# 1457444507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457444507 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HEALTH CARE |
| Other Organization Name | CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA |
| Practice Address |
345 North Smith Avenue Childrens Specialty Clinic Psychological Services Stpl St Paul MN 55102 |
| Mailing Address |
5901 Lincoln Drive, Cbc-2-rev/pe Edina MN 55436-1611 |
| Practice Telephone | 6512206720 |
| Practice Fax Number | 6512206707 |
| Mailing Telephone | 9529925398 |
| Mailing Fax Number | 9529926917 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | MARC H GORELICK (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6128138031 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
331019 | MN | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
331019 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Childrens Hospitals and Clinics of Minnesota | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912004631 | Childrens Health Care | Clinic/Center | 5950 Clearwater Drive, Childrens Hospitals and Clinics Community Rehab, Minnetonka, MN 55343 | 2006-09-17 |
| 1780727958 | Childrens Health Care | Pharmacy | 2525 Chicago Ave S, Childrens Hospitals and Clinics Retail Pharmacy Mpls, Minneapolis, MN 55404 | 2007-02-15 |
| 1790827905 | Childrens Health Care | Hearing Aid Equipment | 2525 Chicago Avenue South, Childrens Hospitals and Clinics Hearing Aids, Minneapolis, MN 55404 | 2007-02-13 |
| 1639262785 | Childrens Health Care | Clinic/Center | 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 | 2006-10-02 |
| 1548353691 | Childrens Health Care | Clinical Medical Laboratory | 345 North Smith Avenue, Childrens Hospitals and Clinics Pathology Stpl, St Paul, MN 55102 | 2006-10-02 |
| 1629161781 | Childrens Health Care | General Acute Care Hospital | 345 Smith Ave N, Childrens Hospitals and Clinics of Minnesota, Saint Paul, MN 55102-2346 | 2006-10-02 |
| 1700979861 | Childrens Health Care | Pharmacy | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2006-10-02 |
| 1134228000 | Childrens Health Care | Clinic/Center | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
| 1194824060 | Childrens Health Care | Home Infusion | 2525 Chicago Avenue South, Childrens Home Infusion, Minneapolis, MN 55404 | 2006-09-21 |
| 1881793750 | Childrens Health Care | General Acute Care Hospital | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
| Street Address |
345 NORTH SMITH AVENUE CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL |
| City | ST PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536910 | Leah Nichole Tygum | Audiologist | 345 North Smith Avenue, Childrens Hospitals and Clinics Audiology St Paul, St Paul, MN 55102 | 2006-11-20 |
| 1184797979 | Linda Ellen Murrans | Audiologist | 345 North Smith Avenue, Childrens Hospitals and Clinics Audiology St Paul, St Paul, MN 55102 | 2006-11-17 |
| 1548347651 | Henry W Ortega | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1063599181 | Kellee A Street | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1497832513 | Jeffrey J Peterson | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1457438590 | Jeffrey S Schiff | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1295812238 | Marsha L Moreen | Nurse Practitioner | 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 | 2006-11-01 |
| 1659458693 | Marilyn F Mellor | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals & Clinics of Mn Emerg Phys Stpl, St Paul, MN 55102 | 2006-11-01 |
| 1275610214 | Donna M Milner | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 | 2006-11-01 |
| 1700963840 | Eugene W Yates | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568017374 | The Bridge Autism Clinic LLC | Clinic/Center | 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697202 | Kids Zone Autism Center Inc | Clinic/Center | 670 Marigold Ter Ne, Fridley, MN 55432-5641 | 2020-10-18 |
| 1568079374 | Midway Counseling Services LLC | Clinic/Center | 1410 9th Ave S Apt 306, Saint Cloud, MN 56301-5787 | 2020-09-25 |
| 1801409099 | Star Autism Center | Clinic/Center | 3333 W Division St Ste 116, Saint Cloud, MN 56301-4548 | 2020-08-26 |
| 1851900484 | Iron Range Behavioral Services LLC | Clinic/Center | 817 S 5th Ave, Virginia, MN 55792-2804 | 2020-07-29 |
| 1184240103 | Adhd&u | Clinic/Center | 2196 Carter Ave, Saint Paul, MN 55108-1709 | 2020-06-25 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1659906071 | Amoud Center Inc | Clinic/Center | 1925 Portland Ave, Minneapolis, MN 55404-2713 | 2020-03-05 |
| 1164055026 | Moonlight Support Services LLC | Clinic/Center | 3110 Old Hwy 8, 206, Roseville, MN 55113-5511 | 2020-02-19 |
| 1285279554 | Metro Therapy Center Inc | Clinic/Center | 2520 Pillsbury Ave S Apt 306, Minneapolis, MN 55404-4208 | 2019-11-11 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
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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.