GREGORY R SIMONSON (NPI# 1942850003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942850003 |
| Entity Type | Individual |
| Full Name | GREGORY R SIMONSON |
| Credential | PHD, LP |
| Practice Address |
1801 American Blvd E Ste 1 Bloomington MN 55425-1230 |
| Mailing Address |
2400 W 64th St Richfield MN 55423-1001 |
| Practice Telephone | 9527677222 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6448 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1801 AMERICAN BLVD E STE 1 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609266584 | Christopher Ray Wlaschin | Social Worker | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2015-01-29 |
| 1487261004 | Zong Cheng Vang | Behavior Technician | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2020-09-28 |
| 1124635743 | Pajar Michelle Lee | Behavior Technician | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2020-09-28 |
| 1275166464 | Sarah Dawn Crowley | Behavior Technician | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2020-02-17 |
| 1467094839 | Brittney Moore | Psychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2019-10-17 |
| 1265998074 | Mariko Ortner | Social Worker | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2019-02-17 |
| 1831663814 | Katie Lynn Burggraff | Counselor | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2019-01-14 |
| 1629548136 | Nicholas John Spangler | Clinical Neuropsychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2018-11-27 |
| 1093282287 | Drew Benson | Psychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2018-10-25 |
| 1407338569 | Jeanne Hermes | Counselor | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2018-09-05 |
| Find all providers in the same location | ||||
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| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| Find all providers in zip 55425 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154885028 | Sara J. W. Biebl, Ph.d., Licensed Psychologist, Pllc | Psychologist | 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431-1112 | 2019-01-24 |
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| 1194184465 | Chjl LLC | Psychologist | 8120 Penn Ave S Ste 252, Bloomington, MN 55431-1358 | 2016-02-16 |
| 1992100077 | Lindeman and Associates, LLC | Psychologist | 3802 E 3rd St, Suite 220, Bloomington, IN 47401-5504 | 2014-10-30 |
| 1255772174 | Amanda Quinby | Psychologist | 205 N College Ave Ste 512, Bloomington, IN 47404-3952 | 2013-07-08 |
| 1457609802 | Jason Vasquez | Psychologist | 2416 Washington, A-3, Bloomington, IL 61704 | 2012-08-16 |
| 1710282058 | Annorah Sheeran Moorman | Psychologist | 1319 Fell Ave, Bloomington, IL 61701-1828 | 2011-01-18 |
| 1477860609 | Hoffmann Burchett Psychological Services, LLC | Psychologist | 205 N Williamsburg Dr, Suite F, Bloomington, IL 61704-7706 | 2010-09-09 |
| 1356654693 | James Wiltz | Psychologist | 2745 E Elderberry Ct, Bloomington, IN 47401-4307 | 2010-07-15 |
| 1528207784 | Jennifer Elizabeth Koch | Psychologist | 2502 E Empire St Ste C, Bloomington, IL 61704-3739 | 2009-02-11 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55425 |
Please comment or provide details below to improve the information on GREGORY R SIMONSON.
| 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.