DR. ANDREA LYNN POTTHOFF (NPI# 1497268122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497268122 |
| Entity Type | Individual |
| Full Name | DR. ANDREA LYNN POTTHOFF |
| Credential | PH.D., L.P. |
| Practice Address |
7300 Metro Blvd Ste 640 Minneapolis MN 55439-2313 |
| Mailing Address |
5837 Colfax Ave S Minneapolis MN 55419-2106 |
| Practice Telephone | 6124704099 |
| Mailing Telephone | 2314999464 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP6188 | MN | Behavioral Health & Social Service Providers |
| Street Address |
7300 METRO BLVD STE 640 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55439-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1104482074 | Sanvello Behavioral Health Services, P.a. | Psychologist | 150 S 5th St Ste 825, Minneapolis, MN 55402-4200 | 2019-05-15 |
| 1033674726 | Kristina Marie Duncombe Lowe | Psychologist | 910 E 26th St Ste 410, Minneapolis, MN 55404-4512 | 2019-02-06 |
| 1083192223 | Krista Yucuis | Psychologist | 725 8th Ave Se, Minneapolis, MN 55414-1364 | 2018-07-31 |
| 1720564941 | Shani Ofrat | Psychologist | 1 Veterans Dr # 2g-128, Minneapolis, MN 55417-2309 | 2018-07-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1871046912 | Christine E Bray | Psychologist | 1100 Washington Ave S, Suite 102, Minneapolis, MN 55415-1273 | 2016-07-25 |
| 1952767311 | Ann Colleen O'fallon | Psychologist | 3737 Colfax Ave S, Minneapolis, MN 55409-1023 | 2016-01-14 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55439 |
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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.