TAMBER HEALTH OF MINNESOTA, P.C. (NPI# 1740683515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740683515 |
| Entity Type | Organization |
| Organization Name | TAMBER HEALTH OF MINNESOTA, P.C. |
| Other Organization Name | TAMBER |
| Practice Address |
2657 Woodbridge Rd Wayzata MN 55391-9406 |
| Mailing Address |
Po Box 178 Crystal Bay MN 55323-0178 |
| Practice Telephone | 8554826237 |
| Practice Fax Number | 9524059163 |
| Mailing Telephone | 8554826237 |
| Mailing Fax Number | 9524059163 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | JAMES RAY RUNDELL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8554826237 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
47562 | MN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Tamber | Doing Business As Name - Organization |
| Street Address |
2657 WOODBRIDGE RD |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457563942 | Helen Kim, Md, PC | Psychologist | 3133 Hennepin Avenue, Minneapolis, MN 55408 | 2007-05-04 |
| 1851785216 | Corolla Health Plc | Psychologist | 3920 13th Ave E, Suite 6, Hibbing, MN 55746-3675 | 2015-03-24 |
| 1063773174 | Mille Lacs Academy | Psychologist | 407 130th Ave S, Onamia, MN 56359-3115 | 2012-06-05 |
| 1457564510 | Janet Woehrle | Psychologist | 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 | 2007-05-07 |
| 1003037524 | Dianne Lynn Lockman | Psychologist | 3919 W 44th St Ste 200, Edina, MN 55424-1032 | 2007-05-01 |
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| 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.