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CENTER FOR PSYCHOLOGICAL CONSULTATION P.A. NPI 1407123425


NPI Information

NPI: 1407123425
Provider Name: CENTER FOR PSYCHOLOGICAL CONSULTATION, P.A.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
8085 WAYZATA BLVD
SUITE 100B
GOLDEN VALLEY, MN
ZIP 55426
Phone: (612) 719-0856
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CENTER FOR PSYCHOLOGICAL CONSULTATION, P.A. is a clinical psychologist in Golden Valley, 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. CENTER FOR PSYCHOLOGICAL CONSULTATION, P.A. NPI is 1407123425. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8085 WAYZATA BLVD
SUITE 100B
GOLDEN VALLEY, MN
ZIP 55426-453
Phone: (612) 719-0856
Fax: (651) 484-8551

The provider's authorized official is James Edward Boscardin .
The authorized official title is President and has the following contact phone number (612) 719-0856.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 11/18/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalLP0709MINNESOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1710552500MEDICAIDMICHIGAN
2680000799MEDICARE PINMINNESOTA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.