MR. MICHAEL JOHN LANDGREN (NPI# 1487176590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487176590 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JOHN LANDGREN |
| Credential | MSED, LP |
| Practice Address |
6425 Nicollet Ave Richfield MN 55423-1675 |
| Practice Telephone | (612) 861-1675 |
| Practice Fax Number | 6128613446 |
| Mailing Telephone | 6128611675 |
| Mailing Fax Number | 6128613446 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3917 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Decatur Ave N, Golden Valley, MN 554274367 | 7637462400 | 7637462401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831868 | Michael Lee Landgren | Pharmacist | 416 Windsor Hwy, New Windsor, NY 12553-6982 | 2020-08-14 |
| 1275650285 | Michael Landgren | Counselor | 57 Cedar St, Worcester, MA 01609-2183 | 2007-03-23 |
| Street Address |
6425 NICOLLET AVE |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568430312 | Francis S. Tougas | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1668 | 2006-03-09 |
| 1124640958 | Marina Himmer | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2020-05-14 |
| 1093356297 | Jenna Marandon Soderbeck | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2019-09-30 |
| 1194380774 | Jane Dorothea Miller | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2019-05-08 |
| 1285106047 | Maria Larue Anderson | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-12-18 |
| 1912472598 | Erin Christa Shannon | Social Worker | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-10-10 |
| 1376027367 | Jonathan Lewis | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-09-17 |
| 1427595628 | Mi Ki Leong | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2017-01-25 |
| 1063863991 | Kelly Sternhagen | Social Worker | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2016-06-22 |
| 1609247048 | Jeff Mills | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106047 | Maria Larue Anderson | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-12-18 |
| 1376027367 | Jonathan Lewis | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-09-17 |
| 1609247048 | Jeff Mills | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2015-10-12 |
| 1467875393 | Faith Meshelle Lindsey | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2014-01-29 |
| 1275644247 | Patricia J Paiser | Psychologist | 7400 Lyndale Ave S, Suite 150, Richfield, MN 55423-4055 | 2006-08-31 |
| 1295770360 | Arleen Cromwell | Psychologist | 255 S Main St, Richfield, UT 84701-2560 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
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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.