ELAINE R. WYNNE (NPI# 1548321680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548321680 |
| Entity Type | Individual |
| Full Name | ELAINE R. WYNNE |
| Practice Address |
315 Georgia Ave N Golden Valley MN 55427-4978 |
| Mailing Address |
Po Box 27314 Golden Valley MN 55427-0314 |
| Practice Telephone | 7635461662 |
| Mailing Telephone | 7635461662 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1876 | MN | Behavioral Health & Social Service Providers |
| Street Address |
315 GEORGIA AVE N |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55427-4978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851452908 | Circle of Cranes Psychology Center,l.l.c. | Psychologist | 315 Georgia Ave N, Golden Valley, MN 55427-4978 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| 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 |
|---|---|---|---|---|
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1295950368 | Christine A Gibbon | Psychologist | 5101 Olson Memorial Hwy Ste 4002, Golden Valley, MN 55422-5164 | 2007-04-16 |
| 1518084326 | Jennifer L. Holt, Ph.d., LLC | Psychologist | 2350 Kewanee Way, Golden Valley, MN 55422-3822 | 2007-03-25 |
| 1639223431 | David Henry Hoy | Psychologist | 8401 Wayzata Blvd, Suite 370, Golden Valley, MN 55426-1343 | 2007-01-22 |
| 1114087236 | Dennis Lee Flom | Psychologist | 1520 Xenia Ave N, Golden Valley, MN 55422-4433 | 2006-12-11 |
| 1700954005 | Robert K Vucinovich | Psychologist | 80 Hampshire Ave N, Golden Valley, MN 55427-4923 | 2006-12-04 |
| 1063591147 | Susan M Hendrickson | Psychologist | 8085 Wayzata Blvd Ste 216, Golden Valley, MN 55426-1459 | 2006-11-02 |
| 1770593493 | Marilyn Henken | Psychologist | 5520 Loring Ln, Golden Valley, MN 55422-5004 | 2006-08-08 |
| 1487681474 | Michelle A Schmid-egleston | Psychologist | 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426-1379 | 2006-06-27 |
| 1922046481 | Diann M Ackard | Psychologist | 5101 Olson Memorial Hwy, #4001, Golden Valley, MN 55422-5149 | 2006-06-04 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55427 |
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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.