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HARBOR CITY PSYCHOLOGICAL ASSOCIATES NPI 1184650400


NPI Information

NPI: 1184650400
Provider Name: HARBOR CITY PSYCHOLOGICAL ASSOCIATES
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
324 W SUPERIOR ST STE 730
DULUTH, MN
ZIP 55802
Phone: (218) 722-4058
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HARBOR CITY PSYCHOLOGICAL ASSOCIATES is a clinical psychologist in Duluth, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. HARBOR CITY PSYCHOLOGICAL ASSOCIATES NPI is 1184650400. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

324 W SUPERIOR ST STE 730
DULUTH, MN
ZIP 55802-720
Phone: (218) 722-4058
Fax: (218) 722-4059

The provider's authorized official is Paul Goossens .
The authorized official title is President and has the following contact phone number (218) 722-4058.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 4/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalLP4732MINNESOTANo
2103TC0700XPsychologistClinicalLP2592MINNESOTAYes
31041C0700XSocial WorkerClinical19635MINNESOTANo
41041C0700XSocial WorkerClinical6443MINNESOTANo
51041C0700XSocial WorkerClinical7560MINNESOTANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BCBS385R5HAOTHERMINNESOTA2
2038158600MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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