CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS, PA (NPI# 1508053273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508053273 |
Entity Type | Organization |
Organization Name | CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS, PA |
Other Organization Name | CPC, PA |
Practice Address |
3601 Park Center Blvd Suite 207 St Louis Park MN 55416-2531 |
Practice Telephone | 9529263364 |
Practice Fax Number | 9529263369 |
Mailing Telephone | 9529263364 |
Mailing Fax Number | 9529263369 |
Enumeration Date | 2007-09-26 |
Last Update Date | 2007-09-26 |
Authorized Official Name | DR. FARUK SAID ABUZZAHAB SR. (PRESIDENT/OWNER) |
Authorized Official Telephone | 9529263364 |
Authorized Official Credential | MD, PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
17068 | MN | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
CPC, PA | Doing Business As Name - Organization |
Street Address |
3601 PARK CENTER BLVD SUITE 207 |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55416-2531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831180579 | Michael Erling Berger | Psychologist | 3601 Park Center Blvd, #315, St Louis Park, MN 55416-2531 | 2005-11-02 |
1518929652 | John Galin Sandness | Preventive Medicine | 3601 Park Center Blvd, Suite 311, St Louis Park, MN 55416-2531 | 2006-04-04 |
1023070554 | Physical and Occupational Medicine Associates, Pa | Clinic/Center | 3601 Park Center Blvd, Suite 311, St Louis Park, MN 55416-2531 | 2006-04-02 |
1396714705 | Faruk Said Abuzzahab Sr. | Psychiatry & Neurology | 3601 Park Center Blvd, Suite 207, St Louis Park, MN 55416-2531 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
Find all providers in zip 55416 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396300877 | Empowerment Solutions | Clinic/Center | 2849 Jersey Ave S, St Louis Park, MN 55426-3305 | 2019-05-09 |
1831514876 | Arbor Therapy Center, LLC | Clinic/Center | 1660 Highway 100 S Ste 300, St Louis Park, MN 55416-1563 | 2014-02-27 |
1326486507 | Aspen Psychological Consulting, LLC | Clinic/Center | 1660 Highway 100 S Ste 332, St Louis Park, MN 55416-1573 | 2013-06-10 |
1699196337 | Marie Casey Olseth, Md, LLC | Clinic/Center | 1550 Utica Ave S, Ste 450, St Louis Park, MN 55416-5312 | 2013-12-24 |
1477859940 | W Wade Phd Lp LLC | Clinic/Center | 4500 Park Glen Rd, Suite 270, St Louis Park, MN 55416-4871 | 2011-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
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1174123376 | Como Behavioral Care LLC | Clinic/Center | 441 Old Highway 8 Nw Ste 213, New Brighton, MN 55112-3235 | 2020-10-27 |
1962000646 | Life Care Health Services LLC | Clinic/Center | 1808 Riverside Ave Ste 211, Minneapolis, MN 55454-1121 | 2020-10-14 |
1639788755 | Cazares Professional Therapy | Clinic/Center | 166 Farrington St, Saint Paul, MN 55102-2104 | 2020-07-24 |
1770100877 | Halabrin Marty and Associates | Clinic/Center | 12760 Aberdeen St Ne Ste 2122760, Blaine, MN 55449-5845 | 2020-07-06 |
1891312732 | Healthy Balance Psychology, LLC | Clinic/Center | 1550 Sunset Dr Sw, Owatonna, MN 55060-3854 | 2020-06-26 |
1134745300 | Quality Care Counseling Services LLC | Clinic/Center | 4141 Central Ave Ne Ste 250, Columbia Heights, MN 55421-3611 | 2020-06-23 |
1780207829 | Amazing You Therapy, LLC | Clinic/Center | 421 1st Ave Sw Ste 300w, Rochester, MN 55902-3389 | 2020-05-23 |
1609499813 | Bright Place LLC | Clinic/Center | 3835 Bakken Blvd, Columbia Heights, MN 55421-5056 | 2020-05-21 |
1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
1235763814 | Monarch Wellness LLC | Clinic/Center | 51 E 4th St Ste 309, Winona, MN 55987-3791 | 2020-02-23 |
Find all providers with the same taxonomy |
City | ST LOUIS PARK |
Zip Code | 55416 |
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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.