DR. CHARLENE JEAN FORSYTH (NPI# 1720280613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720280613 |
| Entity Type | Individual |
| Full Name | DR. CHARLENE JEAN FORSYTH |
| Credential | PSY.D. |
| Practice Address |
110 2nd St S Ste #301 Waite Park MN 56387-1314 |
| Practice Telephone | 3202522976 |
| Practice Fax Number | 3206561570 |
| Mailing Telephone | 3202522976 |
| Mailing Fax Number | 3206561570 |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
4788 | MN | Behavioral Health & Social Service Providers |
| Street Address |
110 2ND ST S STE #301 |
| City | WAITE PARK |
| State | MN |
| Zip Code | 56387-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710931928 | Jean M Bjerke | Social Worker | 110 2nd St S, Suite 303, Waite Park, MN 56387-1662 | 2006-05-20 |
| 1114375987 | Spectrum Home Health Care LLC | Home Health | 110 2nd St S, Suite # 204, Waite Park, MN 56387-1662 | 2016-06-02 |
| 1194189456 | Mn Lakes Transportation, LLC | Non-emergency Medical Transport (VAN) | 110 2nd St S, 204, Waite Park, MN 56387-1662 | 2016-04-12 |
| 1275994337 | Kaah Transportation Service Inc | Non-emergency Medical Transport (VAN) | 110 2nd St S, Suite 111b, Waite Park, MN 56387-1662 | 2016-03-16 |
| 1558776120 | Divine Counseling & Consulting Services, Pllc | Counselor | 110 2nd St S, Suite 222, Waite Park, MN 56387-1662 | 2014-06-23 |
| 1497193593 | Coy R Osgood | Counselor | 110 2nd St S, Ste 221, Waite Park, MN 56387-1662 | 2013-06-11 |
| 1730452038 | G & M II Adult Day Care, Inc. | Day Training, Developmentally Disabled Services | 110 2nd St S, Suite # 138, Waite Park, MN 56387-1662 | 2012-02-16 |
| 1184921561 | The Neurobehavior Center of Minnesota, Pllc | Occupational Therapist | 110 2nd St S, Suite 301, Waite Park, MN 56387-1662 | 2011-02-19 |
| 1366761629 | Jennifer Lynne Miller | Psychologist | 110 2nd St S, Suite #303, Waite Park, MN 56387-1662 | 2010-05-26 |
| 1083846547 | Jean M Bjerke, Pa | Social Worker | 110 2nd St S, Suite 303, Waite Park, MN 56387-1662 | 2009-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041269 | Kayli Marie Brzinski | Massage Therapist | 700 Division St, Waite Park, MN 56387 | 2020-01-03 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1467826016 | Nogob Transportion Inc | Non-emergency Medical Transport (VAN) | 427 Sundial Drive, Waite Park, MN 56387 | 2015-11-19 |
| 1790043271 | Ruth Marie Kuhlman | Psychologist | 110 2nd Street South, Suite 203, Waite Park, MN 56387 | 2012-05-02 |
| 1538463435 | Bjerke Counseling Services, LLC | Community/Behavioral Health | 110 Second Street, South, Suite 303, Waite Park, MN 56387 | 2011-01-06 |
| 1578799714 | Councseling Associates, Pa | Marriage & Family Therapist | 110 Second Street South, Suite 304, Waite Park, MN 56387 | 2009-06-02 |
| 1063678357 | Chiropractic Connection Pllc | Chiropractor | 2103 Frontage Rd N, #19, Waite Park, MN 56387 | 2008-08-06 |
| 1891972584 | Jill M Braaten | Chiropractor | 750 1st Street South, Suite 103, Waite Park, MN 56387 | 2008-01-25 |
| 1609053396 | Braaten Chiropractic LLC | Chiropractor | 750 1st. St. S. Ste 103, Waite Park, MN 56387 | 2008-01-25 |
| 1093849622 | Thomas Edward Monsen | Social Worker | 504 Industrial Boulevard, Waconia, MN 56387 | 2007-03-15 |
| Find all providers in zip 56387 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1245750652 | Sara Vaccarella | Psychologist | 331 W Superior St Ste 300, Duluth, MN 55802-4532 | 2017-06-27 |
| 1780124305 | Families First Counseling Services LLC | Psychologist | 103 S Kingston St, Caledonia, MN 55921-1315 | 2017-03-01 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1801208566 | Rose Mary Boerboom | Psychologist | 415 N 1st St, #502, Minneapolis, MN 55401-4305 | 2014-05-28 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1992145288 | Rowan P Buckley | Psychologist | 6825 Owen St Ste 201, Loretto, MN 55357-9713 | 2013-07-01 |
| 1063781771 | Julie Ann Gomer | Psychologist | 13700 Reimer Dr N Ste 220, Maple Grove, MN 55311-4548 | 2011-12-26 |
| 1750697587 | Megan Horwitz Plumstead | Psychologist | 1619 Dayton Ave Ste 327, Saint Paul, MN 55104-6495 | 2010-08-31 |
| 1073826913 | Scott Michael Jacoby | Psychologist | 2110 Lyndale Ave S, Minneapolis, MN 55405-3196 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
| City | WAITE PARK |
| Zip Code | 56387 |
Please comment or provide details below to improve the information on DR. CHARLENE JEAN FORSYTH.
| 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.