KERBER PSYCHOLOGICAL SERVICES LLC (NPI# 1952505323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952505323 |
Entity Type | Organization |
Organization Name | KERBER PSYCHOLOGICAL SERVICES LLC |
Practice Address |
562 Bavaria Lane Chaska MN 55386 |
Practice Telephone | 9524570572 |
Practice Fax Number | 7142747197 |
Mailing Telephone | 9524570572 |
Mailing Fax Number | 7142747197 |
Enumeration Date | 2007-06-12 |
Last Update Date | 2007-08-01 |
Authorized Official Name | DR. JOHN BERNARD KERBER (CLINICAL PSYCHOLOGIST) |
Authorized Official Telephone | 9524570572 |
Authorized Official Credential | PSY.D., L.P. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | LP4084 | MN | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | UNITED BEHAVIORAL HEALTH | 6173120 | 01 |
MN | BLUE CROSS | 034N2KE | 01 |
Street Address |
562 BAVARIA LANE |
City | CHASKA |
State | MN |
Zip Code | 55386 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427575067 | New Perspective Counseling, LLC | Psychologist | 562 Bavaria Lane, Chaska, MN 55318 | 2017-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932647294 | Nathan Zachary Servey | Chiropractor | 1700 Stieger Lake Lane, Suite 103, Victoria, MN 55386 | 2017-02-07 |
1710433420 | Seek Eye Care, Pa | Optometrist | 7940 Victoria Drive, Suite 103, Victoria, MN 55386 | 2016-09-01 |
1801211586 | Jillyne Bobrowsky | Nutritionist | 8042 Victoria Drive, Victoria, MN 55386 | 2014-03-04 |
1730481391 | Robert Elmer Brown | Chiropractor | 8000 Rose, Victoria, MN 55386 | 2010-12-02 |
1720182082 | Emily Ann Morisset | Speech-Language Pathologist | 1772 Steiger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
1629172986 | Michele Therese Pulvermacher | Speech-Language Pathologist | 1772 Stieger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
1093738692 | Active Living Chiropractic P.a. | Clinic/Center | 1550 Arboretum Blvd, Victoria, MN 55386 | 2006-07-25 |
1629566302 | Jeannie Marie Farrell | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386 | 2018-04-27 |
1477757698 | Katie Marie Skaro | Occupational Therapist | 1772 Stieger Lake Lane, Suite 100, Victoria, MN 55386 | 2007-06-12 |
1245315027 | Kid Talk Inc | Occupational Therapist | 1772 Steiger Lake Lane, Victoria, MN 55386 | 2006-10-27 |
Find all providers in zip 55386 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659764587 | Northstar Regional | Community/Behavioral Health | 1045 Stoughton Ave, Chaska, MN 55318-2149 | 2015-03-17 |
1427322510 | People Incorporated | Community/Behavioral Health | 9120 Shady Oak Dr, Chaska, MN 55318-9201 | 2012-03-07 |
1588818769 | Chaska Counseling and Guidance, LLC | Community/Behavioral Health | 562 Bavaria Ln, Chaska, MN 55318-4597 | 2008-11-13 |
1659542538 | Cross-generation | Community/Behavioral Health | 566 Bavaria Ln, Box 71, Chaska, MN 55318-4597 | 2008-03-18 |
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1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
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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.