COLLIN DAVIDSON (NPI# 1821364001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821364001 |
| Entity Type | Individual |
| Full Name | COLLIN DAVIDSON |
| Credential | PHD |
| Practice Address |
1221 W Lake St Ste 201 Minneapolis MN 55408-3565 |
| Mailing Address |
4419 Wentworth Ave Minneapolis MN 55419-4941 |
| Practice Telephone | 3033998020 |
| Mailing Telephone | 4056123428 |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2019-07-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP5748 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649527391 | Collin Thomas Davidson | Counselor | 6018 Se Stark St, Portland, OR 97215-1990 | 2012-08-13 |
| 1376648840 | Collin Davidson | Dentist | 6087 S Redwood Rd, Suite C, Taylorsville, UT 84123-5330 | 2006-09-13 |
| Street Address |
1221 W LAKE ST STE 201 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302085 | Veeti Tandon | Internal Medicine | 1221 W Lake St Ste 201, Minneapolis, MN 55408-3565 | 2005-08-10 |
| 1043667496 | Dominic Paul Decker | Internal Medicine | 1221 W Lake St Ste 201, Minneapolis, MN 55408 | 2016-05-16 |
| 1932517844 | William Larson | Pharmacist | 1221 W Lake St Ste 201, Minneapolis, MN 55408-3565 | 2014-07-24 |
| 1669659330 | Alison Marie Bormann | Internal Medicine | 1221 W Lake St Ste 201, Minneapolis, MN 55408-3565 | 2008-01-24 |
| 1629278726 | Alina Aloma | Psychologist | 1221 W Lake St Ste 201, Minneapolis, MN 55408 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| 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 |
|---|---|---|---|---|
| 1801208566 | Rose Mary Boerboom | Psychologist | 415 N 1st St, #502, Minneapolis, MN 55401-4305 | 2014-05-28 |
| 1073826913 | Scott Michael Jacoby | Psychologist | 2110 Lyndale Ave S, Minneapolis, MN 55405-3196 | 2010-07-20 |
| 1174686216 | Susan A Medo | Psychologist | 100 W Franklin Ave, Minneapolis, MN 55404-2433 | 2006-12-19 |
| 1447338702 | Eric Larsson | Psychologist | 2925 Dean Pkwy, Suite 300, Minneapolis, MN 55416-4470 | 2006-11-02 |
| 1417035551 | Jennifer Lynn Joseph | Psychologist | 3001 Broadway St Ne, Suite 185, Minneapolis, MN 55413-2195 | 2006-11-02 |
| 1942380316 | Janice L Ostrom | Psychologist | 4535 Washburn Ave N, Minneapolis, MN 55412-1055 | 2006-10-17 |
| 1740376268 | Debra Ann Stack | Psychologist | 2124 Dupont Avenue South #104, Minneapolis, MN 55403 | 2006-10-04 |
| 1194093641 | Kavita Mahesh Desai | Psychologist | 2545 Chicago Ave S, Suite 306, Mail Stop 17-306, Minneapolis, MN 55404-4543 | 2011-12-12 |
| 1649411406 | Meredith L. Gunlicks-stoessel | Psychologist | 2450 Riverside Ave, F256/2b West, Department of Psychiatry, Minneapolis, MN 55454-1450 | 2009-03-09 |
| 1114083540 | Brih Design LLC | Psychologist | 4535 Washburn Ave N, Minneapolis, MN 55412-1055 | 2006-12-29 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on COLLIN DAVIDSON.
| 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.