CRAIG CARLSON (NPI# 1841400579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841400579 |
| Entity Type | Individual |
| Full Name | CRAIG CARLSON |
| Credential | LP |
| Practice Address |
13100 Wayzata Blvd Ste 200 Minnetonka MN 55305-1810 |
| Mailing Address |
1900 Silver Lake Rd Nw New Brighton MN 55112-1786 |
| Practice Telephone | 9522062040 |
| Practice Fax Number | 9522062041 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3482 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 409216300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336347301 | Craig Eric Carlson | Dentist | 344 Cernon St, Vacaville, CA 95688 | 2007-07-11 |
| 1396722310 | Craig K Carlson | Physical Therapist | 8495 161st Ave Ne, Redmond, WA 98052-3849 | 2005-12-30 |
| 1811999865 | Craig R Carlson | Dentist | 400 N Loop 1604 E, Ste 315, San Antonio, TX 78232-1200 | 2005-06-02 |
| 1821030677 | Craig William Carlson | Psychologist | 12625 High Bluff Dr, Suite 114-c, San Diego, CA 92130-2052 | 2006-06-12 |
| 1790725372 | Craig L Carlson | Anesthesiology | 1100 E 26th St, Sioux Falls, SD 57105-4023 | 2006-06-08 |
| Street Address |
13100 WAYZATA BLVD STE 200 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471624 | Amy Beth Butler Bleeker | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2020-09-15 |
| 1093353641 | Colleen Longhenry | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-12-13 |
| 1346882164 | Brandon Jacob Rehnelt | Marriage & Family Therapist | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-10-14 |
| 1104476290 | Audrey Grossman | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-09-19 |
| 1285192682 | Ann Marget Herron | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-03-05 |
| 1689132185 | Patrick Schoenecker | Nurse Practitioner | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-03-04 |
| 1962968065 | Emily Olson | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-02-13 |
| 1801371273 | Karie Amstutz | Marriage & Family Therapist | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2018-10-01 |
| 1821572025 | Robert Scott Kampa | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2018-09-24 |
| 1174004063 | Cara Lynn Coro | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1891167250 | Jared Andersson | Psychologist | 14451 Highway 7 Ste 2a, Minnetonka, MN 55345-3728 | 2015-10-26 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1538393624 | Rachel S Rippel | Psychologist | 12301 Whitewater Dr Ste 30, Minnetonka, MN 55343-4157 | 2009-05-05 |
| 1962669440 | Leslie Anne Maycroft | Psychologist | 10520 Wayzata Boulevard, Minnetonka, MN 55305 | 2008-05-21 |
| 1831364066 | Kari Barth | Psychologist | 14001 Ridgedale Dr Ste 330, Minnetonka, MN 55305-1783 | 2008-04-29 |
| 1730399601 | Renae Mary Reinardy Kragness | Psychologist | 14525 Highway 7, Suite 340, Minnetonka, MN 55345-3734 | 2007-05-22 |
| 1538294426 | John Chester Gonsiorek | Psychologist | 3514 Lilac Ln, Minnetonka, MN 55345-1022 | 2007-02-22 |
| 1669527651 | Joan Marie Oslund-goleczka | Psychologist | 3829 Dartmouth Dr, Minnetonka, MN 55345-1712 | 2007-01-23 |
| 1861560997 | Diane Lee Henze | Psychologist | 15917 Minnetonka Blvd, Minnetonka, MN 55345-1412 | 2006-11-30 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.