CENTER FOR BEHAVIORAL HEALTH (NPI# 1902015308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902015308 |
| Entity Type | Organization |
| Organization Name | CENTER FOR BEHAVIORAL HEALTH |
| Practice Address |
2336 Lexington Ave N Roseville MN 55113-4343 |
| Practice Telephone | 6512616571 |
| Practice Fax Number | 6517654307 |
| Mailing Telephone | 6512616571 |
| Mailing Fax Number | 6517654307 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-11-07 |
| Authorized Official Name | DR. WILLIAM WALTER DUFFY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6512611571 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP0134 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528417474 | Center for Behavioral Health | Psychologist | 125 Cedar Lane, Teaneck, NJ 07666 | 2016-06-10 |
| 1003125766 | Center for Behavioral Health | Community/Behavioral Health | 176 Uvalde, Houston, TX 77015-1506 | 2010-09-29 |
| 1477856052 | Center for Behavioral Health | Counselor | 176 Uvalde Rd, Houston, TX 77015-1506 | 2010-12-21 |
| 1295038081 | Center for Behavioral Health | Case Management | 2225 Pacific Blvd Se, Suite 207, Albany, OR 97321-7907 | 2010-12-16 |
| 1992904700 | Center for Behavioral Health | Psychologist | 36 W Park Ln, Waterloo, IA 50701-5178 | 2007-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR BEHAVIORAL HEALTH IDAHO, INC. | 92 S Cole Rd, Boise, ID 83709-0930 |
| Iowa Business Entities | CENTER FOR BEHAVIORAL HEALTH IOWA, INC. | 1200 University Suite 106, Des Moines, IA 50314 |
| Virginia Business Entities | Center for Behavioral Health LLC | 1954 Opitz Blvd, #007, Woodbridge, Virginia 22191 |
| System for Award Management (SAM) Entities | CENTER FOR BEHAVIORAL HEALTH LOUISIANA INC | 1303 Line Ave Ste 600, Shreveport, LA 71101-4638 |
| Iowa Business Entities | CENTER FOR BEHAVIORAL HEALTH, P.C. | 111 East Church Street, Marshalltown, IA 50158 |
| Street Address |
2336 LEXINGTON AVE N |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760758395 | Aree Thao | Interpreter | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2012-03-28 |
| 1841575115 | Wendy Louise Chromey | Social Worker | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2011-10-18 |
| 1861720518 | Galina German | Counselor | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2009-11-18 |
| 1710157334 | The Center for Behavior Therapy | Psychologist | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2008-03-11 |
| 1598809733 | Darin Lee Haugland | Physical Therapist | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2007-02-19 |
| 1023185352 | Keith Kenneth Krueger | Family Medicine | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1710157334 | The Center for Behavior Therapy | Psychologist | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2008-03-11 |
| 1942361274 | Darcy Uno Fujioka | Psychologist | 1001 Riverside Ave, Roseville, CA 95678-5134 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1245750652 | Sara Vaccarella | Psychologist | 331 W Superior St Ste 300, Duluth, MN 55802-4532 | 2017-06-27 |
| 1780124305 | Families First Counseling Services LLC | Psychologist | 103 S Kingston St, Caledonia, MN 55921-1315 | 2017-03-01 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1801208566 | Rose Mary Boerboom | Psychologist | 415 N 1st St, #502, Minneapolis, MN 55401-4305 | 2014-05-28 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1992145288 | Rowan P Buckley | Psychologist | 6825 Owen St Ste 201, Loretto, MN 55357-9713 | 2013-07-01 |
| 1063781771 | Julie Ann Gomer | Psychologist | 13700 Reimer Dr N Ste 220, Maple Grove, MN 55311-4548 | 2011-12-26 |
| 1750697587 | Megan Horwitz Plumstead | Psychologist | 1619 Dayton Ave Ste 327, Saint Paul, MN 55104-6495 | 2010-08-31 |
| 1073826913 | Scott Michael Jacoby | Psychologist | 2110 Lyndale Ave S, Minneapolis, MN 55405-3196 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
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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.