KEVIN PALMER BOLLIN (NPI# 1609099852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609099852 |
| Entity Type | Individual |
| Full Name | KEVIN PALMER BOLLIN |
| Credential | MSED LP |
| Practice Address |
1406 6th Avenue North St Cloud Hospital St Cloud MN 56303-1900 |
| Mailing Address |
1406 6tj Avenue North St Cloud Hospital St Cloud MN 56303-1900 |
| Practice Telephone | 3202512700 |
| Practice Fax Number | 3206567115 |
| Mailing Telephone | 3202512700 |
| Mailing Fax Number | 3206567115 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP0335 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BHP PREFERRED 1 | 990991045425 | 01 |
| MN | UCARE | 121238 | 01 |
| MN | 672053600 | 05 | |
| MN | BCBSMN | 386G3BO | 01 |
| MN | HEALTH PARTNERS | HP55897 | 01 |
| MN | MEDICA UBH | 62-50723 | 01 |
| Street Address |
1406 6TH AVENUE NORTH ST CLOUD HOSPITAL |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998873 | Melissa A Chapman | Physician Assistant | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2005-10-31 |
| 1427401041 | Whitney Jo Jarnot | Social Worker | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2016-07-19 |
| 1104275619 | Kathryn Lea Gruwell | Social Worker | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2016-06-06 |
| 1972950715 | Janelle Marie Schenstad-hodgins | Counselor | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2016-05-23 |
| 1649635418 | Stephanie Lea Baas | Psychologist | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2015-12-22 |
| 1740658814 | Matthew Albert Peckskamp | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1900 | 2015-09-08 |
| 1548677974 | Joshua Robert Ackerman | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2014-07-17 |
| 1740609254 | Stephen Robert Talsness | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2014-04-11 |
| 1871835900 | Mahesh Kumar | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2013-03-27 |
| 1205198751 | Julia Dawn Veltri Noonan | Physical Therapist | 1406 6th Avenue North, St Cloud, MN 56303-1901 | 2012-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| 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 |
|---|---|---|---|---|
| 1619231388 | Toni Anne Mahowald | Psychologist | Centracare Heart & Vascular Center, 1200 Sixth Ave N, St Cloud, MN 56303-1901 | 2012-06-27 |
| 1801098918 | Tammy Jean Sulik | Psychologist | 1407 33rd Street S, Suite 112, St Cloud, MN 56301 | 2007-06-01 |
| 1629163407 | Antoinette Murphy-salaski | Psychologist | 325 N 33rd Ave # 103, St Cloud, MN 56303 | 2006-10-04 |
| 1871691691 | Barbara Anne Carver | Psychologist | 1406-6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2006-09-20 |
| 1649635418 | Stephanie Lea Baas | Psychologist | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2015-12-22 |
| 1992850069 | Mary J Linn | Psychologist | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-01-25 |
| 1992863484 | Margaret Dwyer Lee | Psychologist | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2006-12-05 |
| 1639248065 | Donna F Johnson | Psychologist | 1900 Centracare Circle, Centracare Health Plaza, St Cloud, MN 56303 | 2006-11-07 |
| 1437240082 | James Ambrose Collins | Psychologist | 325 N 33rd Ave, 103, St Cloud, MD 56303 | 2006-09-27 |
| 1427149079 | Elizabeth Baraga Super | Psychologist | 325 N 33rd Ave, 103, St Cloud, MN 56303 | 2006-09-27 |
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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.