EMILY FREDERIKSEN (NPI# 1730594292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730594292 |
| Entity Type | Individual |
| Full Name | EMILY FREDERIKSEN |
| Credential | MD |
| Practice Address |
800 E 28th St Fl 6 Minneapolis MN 55407-3723 |
| Mailing Address |
800 E 28th St Minneapolis MN 55407-3723 |
| Practice Telephone | 6128635327 |
| Mailing Telephone | 6128635327 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301105970 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
65765 | MN | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301105970 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 E 28th St Fl 6, Minneapolis, MN 554073723 | 6128635327 |
| Street Address |
800 E 28TH ST FL 6 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306154968 | Miriam Leah Fishman | Psychologist | 800 E 28th St Fl 6, Minneapolis, MN 55407-3723 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
| 1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
| 1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
| 1801836127 | Sanjiv Kumra | Psychiatry & Neurology | 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 | 2006-06-07 |
| 1437566437 | Chiamaka Perditta Nwankiti | Psychiatry & Neurology | 2450 Riverside Ave South, Minneapolis, MN 55455 | 2014-07-22 |
| 1558776930 | Raghu Gandhi | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-24 |
| 1235419631 | Narendran Mavinakayinahalli Neelakantachar | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-08-17 |
| 1801100102 | Catherine Jordan Steingraeber | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2010-07-29 |
| 1346484227 | Diana Marie Pandey | Psychiatry & Neurology | 800 E 28th St, Mr 12301, Minneapolis, MN 55407-3723 | 2009-04-23 |
| 1467507152 | William R Dikel | Psychiatry & Neurology | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2007-01-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on EMILY FREDERIKSEN.
| 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.