CHILDRENS HEALTH CARE


Address: 2525 Chicago Ave S, Childrens Speciality Clinic Psychological Services Mpls, Minneapolis, MN 55404
Phone: 6128138455

CHILDRENS HEALTH CARE (NPI# 1689778912) 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) 1689778912
Entity Type Organization
Organization Name CHILDRENS HEALTH CARE
Practice Address 2525 Chicago Ave S
Childrens Speciality Clinic Psychological Services Mpls
Minneapolis
MN 55404
Mailing Address 5901 Lincoln Drive, Cbc-2-rev/pe
Edina
MN 55436-1611
Practice Telephone 6128138455
Practice Fax Number 6128138263
Mailing Telephone 9529925691
Mailing Fax Number 9529926917
Enumeration Date 2006-09-08
Last Update Date 2020-10-07
Authorized Official Name BRENDA LU ALEXANDER MCCORMICK (SR. VP AND CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6128136129
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
331018 MN Ambulatory Health Care Facilities
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
331018 MN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 435247500 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
345 Smith Ave N, Saint Paul, MN 551022346 6512206000

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912004631 Childrens Health Care Clinic/Center 5950 Clearwater Drive, Childrens Hospitals and Clinics Community Rehab, Minnetonka, MN 55343 2006-09-17
1780727958 Childrens Health Care Pharmacy 2525 Chicago Ave S, Childrens Hospitals and Clinics Retail Pharmacy Mpls, Minneapolis, MN 55404 2007-02-15
1790827905 Childrens Health Care Hearing Aid Equipment 2525 Chicago Avenue South, Childrens Hospitals and Clinics Hearing Aids, Minneapolis, MN 55404 2007-02-13
1639262785 Childrens Health Care Clinic/Center 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 2006-10-02
1548353691 Childrens Health Care Clinical Medical Laboratory 345 North Smith Avenue, Childrens Hospitals and Clinics Pathology Stpl, St Paul, MN 55102 2006-10-02
1457444507 Childrens Health Care Clinic/Center 345 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 2006-10-02
1629161781 Childrens Health Care General Acute Care Hospital 345 Smith Ave N, Childrens Hospitals and Clinics of Minnesota, Saint Paul, MN 55102-2346 2006-10-02
1700979861 Childrens Health Care Pharmacy 345 Smith Ave N, Saint Paul, MN 55102-2346 2006-10-02
1134228000 Childrens Health Care Clinic/Center 2525 Chicago Ave S, Minneapolis, MN 55404 2006-09-21
1194824060 Childrens Health Care Home Infusion 2525 Chicago Avenue South, Childrens Home Infusion, Minneapolis, MN 55404 2006-09-21

Office Location

Street Address 2525 CHICAGO AVE S
CHILDRENS SPECIALITY CLINIC PSYCHOLOGICAL SERVICES MPLS
City MINNEAPOLIS
State MN
Zip Code 55404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720082639 Timothy John Clune Nurse Anesthetist, Certified Registered 2525 Chicago Ave S, Minneapolis, MN 55404-4518 2005-06-08
1063929511 Rachel Faust Social Worker 2525 Chicago Ave S, Minneapolis, MN 55404 2018-01-05
1841686573 Amy Nicole Lebedoff Medical Genetics 2525 Chicago Ave S, Minneapolis, MN 55404-4518 2015-04-09
1497166680 Rosina M Hussain Pediatrics 2525 Chicago Ave S, Minneapolis, MN 55404-4518 2014-05-11
1912249038 Kristen Suzanne Forseth Nurse Practitioner 2525 Chicago Ave S, Minneapolis, MN 55404 2013-03-27
1285992354 Joanna M Lowisz Pediatrics 2525 Chicago Ave S, Minneapolis, MN 55404 2012-04-26
1790057636 Martha Johanna Riad Social Worker 2525 Chicago Ave S, Minneapolis, MN 55404 2012-02-08
1154612463 Katharine Rae Lange Pediatrics 2525 Chicago Ave S, Minneapolis, MN 55404 2011-04-21
1396989166 Kara Katherine Seaton Pediatrics 2525 Chicago Ave S, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN 55404 2009-04-23
1104067867 Danielle Patti Franklin Registered Nurse 2525 Chicago Ave S, Minneapolis, MN 55403 2009-03-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1760969125 Bethany Karen Kenny Registered Nurse 910 E 26th St Ste 200, Minneapolis, MN 55404 2018-07-27
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1891299491 Guidance Home Health Care LLC Home Health 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 2018-03-20
1770085490 Bright Future Counseling Service, LLC Counselor 912 E. 24th St., Suite B215, Minneapolis, MN 55404 2018-03-08
1346754298 Juba Pharmacy Inc Pharmacy 1926 Chicago Ave S, Minneapolis, MN 55404 2017-11-29
1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
1639612765 Cosmo Home Healthcare Services, L.L.C. Home Health 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 2016-11-21
Find all providers in zip 55404

Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659906071 Amoud Center Inc Clinic/Center 1925 Portland Ave, Minneapolis, MN 55404-2713 2020-03-05
1285279554 Metro Therapy Center Inc Clinic/Center 2520 Pillsbury Ave S Apt 306, Minneapolis, MN 55404-4208 2019-11-11
1710536081 Blu Care Inc Clinic/Center 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 2019-09-09
1477962488 Hachiya Psychological Services Clinic/Center 3414 W 47th St, Minneapolis, MN 55410-1721 2014-08-05
1043628787 Hennepin County Clinic/Center 256 Upton Ave S, Minneapolis, MN 55405-1944 2014-07-25
1053729897 Northpoint Health & Wellness Center Clinic/Center 1607 51st Ave N, Minneapolis, MN 55430-3433 2014-07-24
1164569679 University of Minnesota Physicians Clinic/Center 1300 2nd Street South Ste 180, Center for Sexual Health, Minneapolis, MN 55454 2007-01-31
1225136419 Washburn Center for Children Clinic/Center 1100 Glenwood Ave, Minneapolis, MN 55405 2006-09-20
1427039692 Jordan Hart, Ph.d., L.p., LLC Clinic/Center 615 W 35th St, Minneapolis, MN 55408-4602 2005-11-07
1710592837 University of Minnesota Physicians Clinic/Center 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 2020-09-15
Find all providers in MINNEAPOLIS

Competitor

Search similar providers

City MINNEAPOLIS
Zip Code 55404

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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