DR. NAN C TRUITT (NPI# 1629150479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629150479 |
Entity Type | Individual |
Full Name | DR. NAN C TRUITT |
Other Name | NAN C BOLSINGER |
Credential | PH.D., LP |
Practice Address |
265 Phalen Blvd Saint Paul MN 55130-2400 |
Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
Practice Telephone | 6514956603 |
Mailing Telephone | 6122625000 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2019-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 5880 | MN | Behavioral Health & Social Service Providers |
N | 103G00000X | Clinical Neuropsychologist | 593 | AK | Behavioral Health & Social Service Providers |
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
593 | AK | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
593 | AK | Behavioral Health & Social Service Providers |
N | 103TF0200X |
Psychologist Specialization: Forensic |
593 | AK | Behavioral Health & Social Service Providers |
N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
593 | AK | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | 1029222 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
480 Osborne Rd Ne Ste 260, Fridley, MN 55432 | 9072777444 | 9072777455 |
Street Address |
265 PHALEN BLVD |
City | SAINT PAUL |
State | MN |
Zip Code | 55130-2400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
Find all providers in zip 55130 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013557057 | Erik De Water | Clinical Neuropsychologist | 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 | 2020-01-07 |
1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
1619066446 | Kristen Ann Ryan | Clinical Neuropsychologist | 190 5th St E, Ste. 100, Saint Paul, MN 55101-2666 | 2006-10-12 |
1770689705 | Gale Valtinson & Associates Pa | Clinical Neuropsychologist | 423 Warwick St, Saint Paul, MN 55105-2548 | 2006-09-16 |
1568473569 | Jack B. Schaffer | Clinical Neuropsychologist | 1790 Goodrich Ave, Saint Paul, MN 55105-1907 | 2006-08-11 |
1053936922 | Suzanne Moseley | Clinical Neuropsychologist | 225 Smith Ave N, Saint Paul, MN 55102-2533 | 2020-06-16 |
1720540974 | Tou Khang | Clinical Neuropsychologist | 393 Dunlap St N Ste 105, Saint Paul, MN 55104-4211 | 2019-04-04 |
1811434038 | Sarah Marie Olson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-25 |
1437576840 | Jordan Robinson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-03-24 |
1750652350 | Kara L Leiser | Clinical Neuropsychologist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2012-01-13 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55130 |
Please comment or provide details below to improve the information on DR. NAN C TRUITT.
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.