Brownell E Mack Iii
ASSOCIATED CLINIC OF PSYCHOLOGY INC


Address: 4240 Park Glen Rd, St Louis Park, MN 55416-4758
Phone: 6129256033

Brownell E Mack Iii (NPI# 1023095627, PAC ID# 3274557277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1023095627
PAC ID by PECOS 3274557277
Professional Enrollment ID I20060117001091
Full Name Brownell E Mack Iii
Organization Legal Name ASSOCIATED CLINIC OF PSYCHOLOGY INC
Address 4240 Park Glen Rd
St Louis Park
MN 55416-4758
Phone Number 6129256033
Gender M
Credential CP
Graduation Year 2002
Primary Specialty PSYCHOLOGIST, CLINICAL
Group Practice PAC ID 0749171320
Number of Group Practice Members 97
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4240 Park Glen Rd, St Louis Park, MN 55416-4758 6129256033 ASSOCIATED CLINIC OF PSYCHOLOGY INC

Organization Information

Organization Legal Name ASSOCIATED CLINIC OF PSYCHOLOGY INC
Physicians 109

Physicians with the same organization

Name Specialty Organization Address
Alicia M Newman Clinical Social Worker Associated Clinic of Psychology Inc 149 Thompson Ave E, Suite 150, West St Paul, MN 55118-3238
Sandra L Forest Clinical Social Worker Associated Clinic of Psychology Inc 4027 County Rd, Suite 25, St Louis Park, MN 55416-4119
Deborah L Anderson Clinical Psychologist Associated Clinic of Psychology Inc 1155 Ford Rd B, St Louis Park, MN 55426-1115
Devon Elizabeth Whitehead Psychologist, Clinical Associated Clinic of Psychology Inc 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115
Ellen B Hartnett Clinical Social Worker Associated Clinic of Psychology Inc 450 Syndicate St N, Suite 385, Saint Paul, MN 55104-4219
Tobin R Delgiudice Psychologist, Clinical Associated Clinic of Psychology Inc 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4597
Kimberly J Oftedahl-brooks Clinical Social Worker Associated Clinic of Psychology Inc 6200 Shingle Creek Pkwy, Suite 350, Brooklyn Center, MN 55430-2155
Kathleen J Lietzau Certified Clinical Nurse Specialist (cns) Associated Clinic of Psychology Inc 6950 146th St W, Suite 100, Apple Valley, MN 55124-8520
Haley N Carlock Nurse Practitioner Associated Clinic of Psychology Inc 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115
Natalie A Rosen Certified Clinical Nurse Specialist (cns) Associated Clinic of Psychology Inc 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115

Office Location

Street Address 4240 PARK GLEN RD
City ST LOUIS PARK
State MN
Zip 55416-4758

Physicians in the same location

Name Specialty Organization Address
Kia C Cashman Clinical Social Worker Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
James A Moore Psychologist, Clinical Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
James J Knipler Clinical Social Worker Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
Stephanie L Dibb Clinical Social Worker Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
James J Prokop Psychologist, Clinical Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
Sheri L Rosencrantz Clinical Social Worker Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
Paige E Sorenson Clinical Social Worker Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
Amanda R Thooft Clinical Social Worker Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
Shelley L Pucci Clinical Social Worker Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
Sarah R Rossall Physician Assistant Associated Clinic of Psychology Inc 4240 Park Glen Rd, St Louis Park, MN 55416-4758
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Christa Joyce Reader Clinical Social Worker University of Minnesota Physicians 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275
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Competitor

Search similar physicians

City ST LOUIS PARK
Zip Code 55416
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty ST LOUIS PARK + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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