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PARK AVENUE CENTER NPI 1710227103


NPI Information

NPI: 1710227103
Provider Name: PARK AVENUE CENTER

Doing Business As: PARK AVENUE CENTER MENTAL HEALTH SERVICES

Classification: Psychologist - 103T00000X
Entity Type: Organization

CLIA Number: 24D0951918

Address:
2649 PARK AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 871-7443
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PARK AVENUE CENTER is a psychologist in Minneapolis, MN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. PARK AVENUE CENTER NPI is 1710227103. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Park Avenue Center Mental Health Services.

The provider's business location address is:

2649 PARK AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55407-006
Phone: (612) 871-7443
Fax: (612) 871-0194

The provider's authorized official is Mark Casagrande .
The authorized official title is Executive Director and has the following contact phone number (612) 871-7443.

The CLIA number assigned to this NPI record is 24D0951918 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 2/21/2013.


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
1103T00000XPsychologistYes

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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