ARIS CLINIC PA (NPI# 1609978063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609978063 |
| Entity Type | Organization |
| Organization Name | ARIS CLINIC PA |
| Other Organization Name | ARIS CLINIC |
| Practice Address |
2040 Woodwinds Dr Woodbury MN 55125-2522 |
| Practice Telephone | 6512599750 |
| Practice Fax Number | 6512599790 |
| Mailing Telephone | 6512599750 |
| Mailing Fax Number | 6512599790 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | KOR CHA (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6512599703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Aris Clinic | Doing Business As Name - Organization |
| Raymond Kennedy MD PA | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7616 Currell Boulevard, Suite 100, Woodbury, MN 55125 | 6512599750 | 6512599790 |
| Street Address |
2040 WOODWINDS DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396013355 | Jennifer Rae Hoglund Miller | Counselor | 2040 Woodwinds Dr, Woodbury, MN 55125-2522 | 2011-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225114499 | Karen Teitelman | Psychiatry & Neurology | 6 North Broad Street, Suite 301, Woodbury, NJ 08096 | 2006-10-31 |
| 1740371079 | Francene Black | Psychiatry & Neurology | 6 North Broad Stree, Suite 301 Center for Family Guidance, Woodbury, NJ 08096 | 2006-09-28 |
| 1619071602 | Robert S Mcwilliam | Psychiatry & Neurology | 4 S Pomperaug Ave, Woodbury, CT 06798-3709 | 2006-09-11 |
| 1265535876 | Susan Marie Buelow | Psychiatry & Neurology | 659 Bielenberg Dr, Woodbury, MN 55125-1706 | 2006-09-07 |
| 1396858288 | Marina Zatman | Psychiatry & Neurology | 122 S Pomperaug Ave Ste 2b, Woodbury, CT 06798-3708 | 2006-08-16 |
| 1740255280 | Molly Ann Flannagan | Psychiatry & Neurology | 7616 Currell Blvd., Suite 290, Woodbury, MN 55125-8204 | 2006-02-20 |
| 1629040639 | Karen P Ta | Psychiatry & Neurology | 1811 Weir Drive Suite 355 - Mail Stop 13701a, Healthpartners Regions Behavioral Health-woodbury, Woodbury, MN 55125-2273 | 2006-02-03 |
| 1194721746 | Jay P Bellias | Psychiatry & Neurology | 404 Tatum St, Woodbury, NJ 08096-3499 | 2005-06-27 |
| 1215486261 | Robert S Mcwilliam Md LLC | Psychiatry & Neurology | 4 S Pomperaug Ave, Woodbury, CT 06798-3709 | 2016-09-30 |
| 1528405834 | Jasleen Gill | Psychiatry & Neurology | 1811 Weir Dr Ste 355, Woodbury, MN 55125 | 2013-05-28 |
| Find all providers in WOODBURY | ||||
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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.