ALLIANT BEHAVIORAL PEDIATRICS (NPI# 1932486057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932486057 |
Entity Type | Organization |
Organization Name | ALLIANT BEHAVIORAL PEDIATRICS |
Practice Address |
201 W Travelers Trl Suite 212 Burnsville MN 55337-2550 |
Practice Telephone | 6512957440 |
Practice Fax Number | 6124374499 |
Mailing Telephone | 6512957440 |
Mailing Fax Number | 6124374499 |
Enumeration Date | 2011-11-03 |
Last Update Date | 2014-12-29 |
Authorized Official Name | DR. JAMI J HUGHES (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6512957440 |
Authorized Official Credential | PSY.D, BCBA- |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103K00000X | Behavioral Analyst | 1-12-12557 | FL | Behavioral Health & Social Service Providers |
Y | 103T00000X | Psychologist | 5121 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS-MN | 0BI29HU | 01 |
Street Address |
201 W TRAVELERS TRL SUITE 212 |
City | BURNSVILLE |
State | MN |
Zip Code | 55337-2550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013334663 | Mark Graeff | Driver | 201 W Travelers Trl, Suite 11, Burnsville, MN 55337-2550 | 2014-03-20 |
1295151777 | Lul Hersi | Driver | 201 W Travelers Trl, Suite 11, Burnsville, MN 55337-2550 | 2014-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
Find all providers in zip 55337 |
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 |
---|---|---|---|---|
1518250984 | Sarah Robinson-hudson | Psychologist | 3000 County Road 42 W Ste 210, Burnsville, MN 55337 | 2011-05-18 |
1104054329 | Jami Jeyn Hughes | Psychologist | 201 W Travelers Trl Ste 212, Burnsville, MN 55337-4905 | 2009-06-25 |
1831264498 | Louise Agnes Griffith | Psychologist | 14575 Grand Ave, Burnsville, MN 55306-5722 | 2006-11-21 |
1245312818 | Patricia Verby Psychological Services Inc | Psychologist | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2006-10-20 |
1184738254 | Terry Lawrence Poe | Psychologist | 675 Nicollet Blvd East, Burnsville, MN 55337-6741 | 2006-08-18 |
1528071065 | John F. Cooper | Psychologist | 200 E Travelers Trl Ste 225, Burnsville, MN 55337-4191 | 2006-08-14 |
1326025313 | Robyn Swenson | Psychologist | 1755 Southcross Dr W, Burnsville, MN 55306-7012 | 2005-12-29 |
1295712495 | Michelle A Brouillette | Psychologist | 11990 Portland Ave, Burnsville, MN 55337-1516 | 2005-12-28 |
1952386526 | Richard S Lafans | Psychologist | 14300 Nicollet Ct, Ste 130, Burnsville, MN 55306-3422 | 2005-12-07 |
1780666958 | Susan Peters | Psychologist | 14587 Grand Ave, #201, Burnsville, MN 55306-5700 | 2005-11-15 |
Find all providers in BURNSVILLE |
City | BURNSVILLE |
Zip Code | 55337 |
Please comment or provide details below to improve the information on ALLIANT BEHAVIORAL PEDIATRICS.
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.