MARK RADERSTORF (NPI# 1912112798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912112798 |
| Entity Type | Individual |
| Full Name | MARK RADERSTORF |
| Practice Address |
7211 Ohms Ln Edina MN 55439-2148 |
| Practice Telephone | 9529270184 |
| Mailing Telephone | 9529270184 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
710 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UNITED BEHAVIORAL HEALTH | 6215612 | 01 |
| MN | HEALTHPARTNERS | 16613 | 01 |
| Street Address |
7211 OHMS LN |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724283 | Twin Cities Surgery Center, Pa | Clinic/Center | 7211 Ohms Ln, Edina, MN 55439-2148 | 2020-06-12 |
| 1962981415 | Twin Cities Anesthesia, P.a. | Nurse Anesthetist, Certified Registered | 7211 Ohms Ln, Edina, MN 55439-2148 | 2018-08-07 |
| 1790145480 | Twin Cities Surgery Center | Clinic/Center | 7211 Ohms Ln, Edina, MN 55439-2148 | 2016-02-24 |
| 1881928240 | Virtual Psych, LLC | Psychiatry & Neurology | 7211 Ohms Ln, Edina, MN 55439-2148 | 2009-10-01 |
| 1225247372 | Behavioral Management Pa | Psychologist | 7211 Ohms Ln, Edina, MN 55439-2148 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548829096 | Larissa Barbaro-kukade | Psychologist | 6550 York Ave S # 620, Edina, MN 55435-2347 | 2019-06-09 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1417328808 | Center for Collaborative Health | Psychologist | 7300 Metro Blvd Ste 695, Edina, MN 55439-2468 | 2015-10-12 |
| 1407127517 | Joyce Popp | Psychologist | 5200 Willson Rd # 450, Edina, MN 55424-1332 | 2012-01-20 |
| 1538310685 | Daryn Rogers | Psychologist | 4570 W 77th St Ste 235, Edina, MN 55435 | 2008-10-07 |
| 1780668459 | Jane M Kilgriff | Psychologist | 5200 Willson Rd, #309, Edina, MN 55424-1332 | 2005-12-06 |
| 1134596521 | Kristin Turner | Psychologist | 6600 France Ave S, Suite 230, Edina, MN 55435-1805 | 2015-09-01 |
| 1427425313 | Mindful Families | Psychologist | 7400 Metro Blvd Ste 190, Edina, MN 55439-2361 | 2015-08-26 |
| 1033504550 | Brittany Lee Hamann | Psychologist | 6600 France Ave S, Edina, MN 55435-1805 | 2015-04-01 |
| 1962821520 | Mindful Families | Psychologist | 7400 Metro Blvd Ste 190, Edina, MN 55439-2361 | 2014-04-10 |
| Find all providers in EDINA | ||||
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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.