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PARTNERS IN HEALING OF MINNEAPOLIS LLC NPI 1518162684


NPI Information

NPI: 1518162684
Provider Name: PARTNERS IN HEALING OF MINNEAPOLIS, LLC

Other Name: PARTNERS IN HEALING OF MINNEAPOLIS

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
10505 WAYZATA BLVD.,
SUITE #200
MINNETONKA, MN
ZIP 55305
Phone: (763) 546-5797
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PARTNERS IN HEALING OF MINNEAPOLIS, LLC is a clinical psychologist in Minnetonka, 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. PARTNERS IN HEALING OF MINNEAPOLIS, LLC NPI is 1518162684. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Partners In Healing Of Minneapolis.

The provider's business location address is:

10505 WAYZATA BLVD.,
SUITE #200
MINNETONKA, MN
ZIP 55305-507
Phone: (763) 546-5797
Fax: (763) 546-5754

The provider's authorized official is David S Alter .
The authorized official title is Owner and has the following contact phone number (763) 546-5797.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 1/29/2013.


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
1101YM0800XCounselorMental Health17268MINNESOTANo
2103G00000XClinical NeuropsychologistLP1585MINNESOTANo
3103T00000XPsychologistLP1585MINNESOTANo
4103T00000XPsychologistLP4786MINNESOTANo
5103TB0200XPsychologistCognitive & BehavioralLP4786MINNESOTANo
6103TC1900XPsychologistCounselingLP4786MINNESOTANo
7103TF0000XPsychologistFamilyLP4786MINNESOTANo
8103TH0004XPsychologistHealthLP4786MINNESOTANo
91041C0700XSocial WorkerClinical17268MINNESOTANo
10106H00000XMarriage & Family Therapist917MINNESOTANo
11171100000XAcupuncturist1140MINNESOTANo
12103TC0700XPsychologistClinicalLP1585MINNESOTAYes

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
1=========OTHERMINNESOTAFEDERAL ID

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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