TWIN CITIES BEHAVIORAL HEALTH, PC


Address: 2 Division St E, Suite 103, Buffalo, MN 55313-1773
Phone: 9528313662

TWIN CITIES BEHAVIORAL HEALTH, PC (NPI# 1659674489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659674489
Entity Type Organization
Organization Name TWIN CITIES BEHAVIORAL HEALTH, PC
Practice Address 2 Division St E
Suite 103
Buffalo
MN 55313-1773
Mailing Address 7300 Metro Blvd
Suite 635
Edina
MN 55439-2303
Practice Telephone 9528313662
Mailing Telephone 9528313662
Enumeration Date 2010-12-16
Last Update Date 2010-12-16
Authorized Official Name DR. JOSEPH I SHAGALOW (CLINICAL DIRECTOR/OWNER)
Authorized Official Telephone 9528313662
Authorized Official Credential PSYD LP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295979664 Twin Cities Behavioral Health, PC Clinic/Center 7300 Metro Blvd, Suite 635, Edina, MN 55439-2303 2009-04-28

Office Location

Street Address 2 DIVISION ST E
SUITE 103
City BUFFALO
State MN
Zip Code 55313-1773

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1760938716 Karen Kahler Counselor 1772 Donnelly Dr Nw, Buffalo, MN 55313 2016-08-30
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1366797946 Brenda Kay Lenz Nurse Practitioner 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 2012-07-19
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City BUFFALO
Zip Code 55313

Improve Information

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Dataset Information

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.

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