MS. DEBORAH JEAN CLEMMENSEN (NPI# 1992711154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992711154 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH JEAN CLEMMENSEN |
| Credential | M.EQ. |
| Practice Address |
10520 Wayzata Blvd Woodside Office Park Minnetonka MN 55305-1511 |
| Mailing Address |
3525 Irving Ave S Minneapolis MN 55408-3325 |
| Practice Telephone | 9527670190 |
| Practice Fax Number | 9525443401 |
| Mailing Telephone | 6128270759 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP2635 | MN | Behavioral Health & Social Service Providers |
| Street Address |
10520 WAYZATA BLVD WOODSIDE OFFICE PARK |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533144 | Christine Deanne Hendrickson | Behavior Technician | 10520 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2019-11-21 |
| 1942853940 | On Track Mn, L.L.C. | Early Intervention Provider Agency | 10520 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2019-07-18 |
| 1518381235 | Peggy Maki Phd LLC | Psychologist | 10520 Wayzata Blvd, #100, Minnetonka, MN 55305-1511 | 2014-02-17 |
| 1144479429 | Deborah Marie Luther | Marriage & Family Therapist | 10520 Wayzata Blvd, Woodside Office Park, Bldg. #3, Minnetonka, MN 55305-1511 | 2008-09-11 |
| 1881862308 | Mahryam Daniels | Marriage & Family Therapist | 10520 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2008-02-19 |
| 1114086667 | Stephen Huey | Psychologist | 10520 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-12-08 |
| 1750485744 | Stuart Samuel Dansinger | Psychologist | 10520 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-1511 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206552 | Nicole Lynn Smith | Psychologist | 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 | 2011-12-15 |
| 1982926515 | Sarah L. Sander Psy.d.,lp, LLC | Psychologist | 11900 Wayzata Blvd, Suite 132, Minnetonka, MN 55305-2031 | 2010-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405202 | Q Collective, LLC | Psychologist | 3413 Wilshire Pl Ne, Minneapolis, MN 55418-1447 | 2019-03-09 |
| 1043714199 | Julianna Sapienza | Psychologist | 2545 Chicago Ave Ste 217, Minneapolis, MN 55404-4556 | 2018-03-22 |
| 1942758701 | Dana Hoehn | Psychologist | 4636 Lyndale Ave S, Lower Unit, Minneapolis, MN 55419-5302 | 2016-09-21 |
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1861737041 | Decisionpoint Behavioral Health, Inc. | Psychologist | 206 S Broadway, Suite 411a, Rochester, MN 55904-6502 | 2012-11-29 |
| 1063725166 | Thomas Robert Lutz | Psychologist | 1125 Ramsey St, Hastings, MN 55033-2811 | 2010-07-17 |
| 1366755597 | Kristin L Ballard | Psychologist | 4005 W 65th St Ste 110, Edina, MN 55435-1700 | 2010-07-16 |
| 1316180011 | Brenda Diane Brant | Psychologist | 18473 97th Pl N, Maple Grove, MN 55311-1368 | 2009-04-09 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| 1710196522 | Bill J Duke | Psychologist | 420 Center Ave Ste 7, Moorhead, MN 56560-1962 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on MS. DEBORAH JEAN CLEMMENSEN.
| 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.