STEPHENS PSYCHOLOGICAL SERVICES (NPI# 1578824330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578824330 |
| Entity Type | Organization |
| Organization Name | STEPHENS PSYCHOLOGICAL SERVICES |
| Other Organization Name | CAROL STEPHENS |
| Practice Address |
3829 Washburn Ave S Minneapolis MN 55410-1129 |
| Practice Telephone | 6122517413 |
| Practice Fax Number | 6129277425 |
| Mailing Telephone | 6122517413 |
| Mailing Fax Number | 6129277425 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | DR. CAROL M STEPHENS (OWNER) |
| Authorized Official Telephone | 6122517413 |
| Authorized Official Credential | PSY. D, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3384 | MN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Carol Stephens | Former Legal Business Name - Organization |
| Street Address |
3829 WASHBURN AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55410-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1396926077 | Julie Anne Hurtuhise | Occupational Therapist | 4516 Zenith Ave S, Minneapolis, MN 55410 | 2007-11-21 |
| 1063534634 | Pat Brendon Obrien | Chiropractor | 5049 France Ave S, Minneapolis, MN 55410 | 2007-04-04 |
| 1144322272 | Ted Marvin Beeman | Dentist | 2306 W 50th St, Minneapolis, MN 55410 | 2006-09-01 |
| 1306840848 | Rhondi L Miller | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2005-06-13 |
| 1063935732 | Caryn Herrick | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2017-07-25 |
| 1578858643 | David A. Cook, Dds, Pa | Dentist | 4999 France Ave S, Suite 230, Minneapolis, MN 55410 | 2011-06-16 |
| 1457682395 | Katrina Koller | Massage Therapist | 4049 Abbott Ave S, Minneapolis, MN 55410-1002 | 2010-01-15 |
| 1659538296 | Mary Ann Ryken | Physical Medicine & Rehabilitation | 3800 Vincent Ave S, Minneapolis, MN 55410-1122 | 2008-05-21 |
| 1124637145 | Nelson Nudd | Pharmacist | 4104 Zenith Ave S, Minneapolis, MN 55410-1156 | 2020-07-26 |
| Find all providers in zip 55410 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1831740216 | Seth Gordon Disner | Psychologist | 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 | 2019-09-26 |
| 1366090763 | Healing Therapy LLC | Psychologist | 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 | 2019-08-28 |
| 1891340469 | Karin Fisher | Psychologist | 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 | 2019-08-09 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1689030231 | Oliver Ross Psychology and Consulting LLC | Psychologist | 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 | 2016-01-13 |
| 1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
| 1841664190 | Lakes Wellness Center LLC | Psychologist | 3248 Stevens Ave, Minneapolis, MN 55408-3214 | 2015-11-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55410 |
Please comment or provide details below to improve the information on STEPHENS PSYCHOLOGICAL SERVICES.
| 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.