MAHLEN PSYCHOLOGICAL SERVICES LLC (NPI# 1790143378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790143378 |
| Entity Type | Organization |
| Organization Name | MAHLEN PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
18315 Cascade Dr Ste: 165 Eden Prairie MN 55347-1180 |
| Practice Telephone | 6126950071 |
| Practice Fax Number | 9527675087 |
| Mailing Telephone | 6126950071 |
| Mailing Fax Number | 9527675087 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | DR. JASON LEE MAHLEN (OWNER-PSYCHOLOGIST) |
| Authorized Official Telephone | 6126950071 |
| Authorized Official Credential | PSY.D L.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 5600 | MN | Agencies |
| Street Address |
18315 CASCADE DR STE: 165 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55347-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518070457 | Stephen George Lutz | Pediatrics | 18315 Cascade Dr, Ste 170, Eden Prairie, MN 55347-1180 | 2006-08-16 |
| 1396290334 | Eve R. Boaheng | Audiologist-Hearing Aid Fitter | 18315 Cascade Dr, 100, Eden Prairie, MN 55347 | 2016-08-19 |
| 1477931095 | Connect Hearing, Inc. | Audiologist | 18315 Cascade Dr, 100, Eden Prairie, MN 55347-1190 | 2015-05-14 |
| 1205136231 | Jason Lee Mahlen | Psychologist | 18315 Cascade Dr, Ste: 165, Eden Prairie, MN 55347-1180 | 2010-10-25 |
| 1508018623 | Expert Hearing & Audiology, Inc. | Audiologist | 18315 Cascade Dr, Suite 100, Eden Prairie, MN 55347-1180 | 2008-10-21 |
| 1710139837 | Giselle Mary Matsui | Audiologist | 18315 Cascade Dr, Suite 100, Eden Prairie, MN 55347-1180 | 2008-10-21 |
| 1316009673 | Sarah Lynn Hermanson | Dentist | 18315 Cascade Dr, #120, Eden Prairie, MN 55347-1180 | 2006-12-14 |
| 1437218088 | John Edward Gulon | Dentist | 18315 Cascade Dr, #120, Eden Prairie, MN 55347-1180 | 2006-12-08 |
| 1467511956 | Stacey Kay Wolken | Dentist | 18315 Cascade Dr, Suite 120, Eden Prairie, MN 55347-1180 | 2006-12-08 |
| 1588730527 | Pdg, P.a. | Dentist | 18315 Cascade Dr, Suite 120, Eden Prairie, MN 55347-1180 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013765 | Wellspring Women's Counseling Pllc | Counselor | 8688 Shiloh Court, Eden Prairie, MN 55347 | 2020-05-01 |
| 1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
| 1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
| 1144508490 | Jenny Marie Heidt | Chiropractor | 8941 Aztec Drive, Eden Prairie, MN 55347 | 2011-08-03 |
| 1023337946 | Holly Christine Hanson | Dermatology | 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 | 2010-05-18 |
| 1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
| 1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1407258239 | Audrey Butler | Speech-Language Pathologist | 18117 Settlers Way, Eden Prairie, MN 55347-1029 | 2014-09-24 |
| 1790993798 | Daniel L Bachicha | Counselor | 18700 Wynnfield Rd, Eden Prairie, MN 55347-1066 | 2007-05-21 |
| Find all providers in zip 55347 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033522040 | Kirsten Webb Counseling, LLC | Community/Behavioral Health | 7947 S Bay Curv, Eden Prairie, MN 55347-1120 | 2014-06-06 |
| 1376162941 | Twin Cities Recovery Center LLC | Community/Behavioral Health | 6385 Old Shady Oak Rd Ste 250, Eden Prairie, MN 55344-7705 | 2020-04-13 |
| 1114334968 | West Metro Christian Counseling LLC | Community/Behavioral Health | 15832 Venture Ln, Eden Prairie, MN 55344-5732 | 2014-07-14 |
| 1932515541 | Zion's Hope Counseling Services, LLC | Community/Behavioral Health | 6542 Regency Ln, Suite 210, Eden Prairie, MN 55344-7847 | 2014-07-02 |
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| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55347 |
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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.