DR. MISCHA ANTIN TURSICH (NPI# 1841601655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841601655 |
| Entity Type | Individual |
| Full Name | DR. MISCHA ANTIN TURSICH |
| Other Name | MICHELLE MARGARET TURSICH |
| Credential | PH.D., L.P. |
| Practice Address |
1400 Madison Ave Suite 352 Mankato MN 56001-5473 |
| Mailing Address |
1230 E Main St P.o. Box 8674 Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | LP5713 | MN | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP5713 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5713 | MN | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
LP5713 | MN | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LP5713 | MN | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
LP5713 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1400 MADISON AVE SUITE 352 |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437110640 | Lorraine Jean Griffin | Dermatology | 1400 Madison Ave, Suite 400a, Mankato, MN 56001-5473 | 2006-03-29 |
| 1407415334 | Matthew J Hastreiter | Physical Therapist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2019-06-13 |
| 1447761960 | Shayna Terese Miller | Speech-Language Pathologist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2017-10-24 |
| 1619487899 | Ashley Marie Paul | Physical Therapist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2017-10-02 |
| 1962938761 | Jennifer Jenniges | Counselor | 1400 Madison Ave, Suite 610, Mankato, MN 56001-5473 | 2017-05-11 |
| 1942671664 | Joseph Kann | Occupational Therapist | 1400 Madison Ave, Suite 100aa, Mankato, MN 56001-5473 | 2015-10-08 |
| 1881072254 | Peter Joseph Seiler | Psychiatry & Neurology | 1400 Madison Ave, Mankato, MN 56001-5473 | 2015-05-18 |
| 1518350982 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 1400 Madison Ave, Suite 402, Mankato, MN 56001-5473 | 2015-03-10 |
| 1043618564 | Lindsay Boettger | Counselor | 1400 Madison Ave, Suite 628, Mankato, MN 56001-5473 | 2014-12-16 |
| 1841617313 | Michael Mwangi Muchiri | Nurse Practitioner | 1400 Madison Ave, Suite 402, Mankato, MN 56001-5473 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417365057 | Adam Anderson, Phd, Clinical Psychologist, LLC | Psychologist | 11 Civic Center Plz Ste 201, Mankato, MN 56001-7718 | 2014-07-28 |
| 1124297213 | George V Komaridis | Psychologist | 12 Civic Center Plz, Suite 2090, Mankato, MN 56001-7781 | 2008-02-22 |
| 1326216169 | Philip Psychological Clinic | Psychologist | 510 Sibley Street, Suite 200, Mankato, MN 56001 | 2008-02-14 |
| 1750586517 | Ponrelil Philipose Philip | Psychologist | 103 North Broad Street, Mankato, MN 56001 | 2007-06-20 |
| 1235273624 | Jacquelyn Marie Jauss | Psychologist | 11 Civic Center Plz, Suite 201, Mankato, MN 56001-7710 | 2007-02-18 |
| 1093886673 | David Earl Hildebrandt | Psychologist | 100 Martin Luther King Dr, Mankato, MN 56001-6275 | 2006-11-13 |
| 1912938275 | Eric Sprankle | Psychologist | 1600 Warren St, Suite 6, Mankato, MN 56001-5197 | 2006-07-05 |
| 1063463347 | Theodore Surdy | Psychologist | 1207 Caledonia St, Mankato, MN 56001-4329 | 2006-05-12 |
| 1043298060 | Theresa L Gunderson | Psychologist | Madison East Center, Suite 352 Mankato Clinic Department of Psychiatry, Mankato, MN 56001 | 2006-01-09 |
| 1932106606 | Kathleen Christensen | Psychologist | 1400 Madison Ave Ste 628, Mankato, MN 56001-5488 | 2005-07-07 |
| Find all providers in MANKATO | ||||
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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.