TWIN CITIES PSYCHOLOGICAL SERVICES, LTD. (NPI# 1487065660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487065660 |
| Entity Type | Organization |
| Organization Name | TWIN CITIES PSYCHOLOGICAL SERVICES, LTD. |
| Practice Address |
825 Nicollet Mall Suite 1455 Minneapolis MN 55402-2606 |
| Mailing Address |
825 Nicollet Mall Ste 1455 Minneapolis MN 55402-2703 |
| Practice Telephone | 6123455194 |
| Mailing Telephone | 6123455194 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | DR. GRACE KIM (VICE PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Telephone | 6123455194 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | LP5724 | MN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | LP5726 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1407185564 | 01 |
| VA | NPI | 179-0012-318 | 01 |
| Street Address |
825 NICOLLET MALL SUITE 1455 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55402-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718892 | Dinesh K Goyal | Ophthalmology | 825 Nicollet Mall, Ste 2000, Minneapolis, MN 55402-2708 | 2005-05-24 |
| 1851836464 | Denise Brown | Nurse Practitioner | 825 Nicollet Mall, Medical Arts Building Suite 300, Minneapolis, MN 55402-2525 | 2017-01-05 |
| 1881138527 | Stefanie Marie Donnelly | Counselor | 825 Nicollet Mall, Suite 415, Minneapolis, MN 55402-2606 | 2016-12-15 |
| 1073063103 | Minnesota Dental Professionals, P.C. | Dentist | 825 Nicollet Mall, Ste 425, Minneapolis, MN 55402-2606 | 2016-10-13 |
| 1326596032 | Michael Studer | Acupuncturist | 825 Nicollet Mall, Suite 923, Minneapolis, MN 55402-2606 | 2016-09-12 |
| 1104272939 | Donald Clausen Dds Ms Pa | Dentist | 825 Nicollet Mall, Ste 825, Minneapolis, MN 55402-2606 | 2016-05-11 |
| 1841656410 | Cityscape Dental Pa | Dentist | 825 Nicollet Mall, Suite# 1921, Minneapolis, MN 55402-2606 | 2016-01-12 |
| 1629442538 | Skin Specialists | Dermatology | 825 Nicollet Mall, Suite 1002, Minneapolis, MN 55402-2614 | 2015-11-17 |
| 1790171171 | Mill City Dermatology, P.a. | Clinic/Center | 825 Nicollet Mall, Suite 1227, Minneapolis, MN 55402-2606 | 2015-04-12 |
| 1760894372 | Svetlana Simovic, M.d. | Psychiatry & Neurology | 825 Nicollet Mall, Suite # 614, Minneapolis, MN 55402-2606 | 2014-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1124684725 | Eric James Holthaus | Dentist | 825 Nicollet Ave #1025, Minneapolis, MN 55402 | 2019-05-20 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1124529417 | Danielle Marie Kasprzak | Social Worker | 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 | 2018-02-22 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| 1265891600 | Carl Mothes | Counselor | 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 | 2016-02-13 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
| 1235368226 | Anna Dickens | Nurse Practitioner | 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 | 2009-07-10 |
| Find all providers in zip 55402 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1689283772 | Raji Inc | Community/Behavioral Health | 2639 Nicollet Ave # 130, Minneapolis, MN 55408-1629 | 2020-07-24 |
| 1578188504 | Sound Connections Counseling | Community/Behavioral Health | 3747 Minnehaha Ave, Minneapolis, MN 55406-2857 | 2020-06-16 |
| 1285258111 | Recovery Alliance LLC | Community/Behavioral Health | 1421 Park Ave Ste 202, Minneapolis, MN 55404-1579 | 2020-06-06 |
| 1760015879 | Extended Health Services | Community/Behavioral Health | 1928 Portland Ave # S302, Minneapolis, MN 55404-3469 | 2020-02-17 |
| 1548800915 | Revive Roots, Pllc | Community/Behavioral Health | 3440 Portland Ave, Minneapolis, MN 55407-4861 | 2020-01-13 |
| 1477193944 | Leah Jacob Licsw LLC | Community/Behavioral Health | 100 W Franklin Ave Ste 301, Minneapolis, MN 55404-2446 | 2020-01-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55402 |
Please comment or provide details below to improve the information on TWIN CITIES PSYCHOLOGICAL SERVICES, LTD..
| 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.