HALEY CARLOCK DNP PMHNP-BC NPI 1013364199

NPI Information

NPI: 1013364199
Provider Name: HALEY CARLOCK, DNP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: HEALTHWISE PSYCHOLOGY PA

PECOS Registration: Yes

Address:
1155 FORD RD
SUITE B
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 378-1800
Get Directions

Haley Carlock, DNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in St Louis Park, MN with 8 years of experience. Haley Carlock, DNP, PMHNP-BC NPI is 1013364199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1155 FORD RD
SUITE B
ST LOUIS PARK, MN
ZIP 55426-099
Phone: (952) 378-1800
Fax: (952) 378-1714

The NPI 1013364199 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2016 and was last updated on 4/26/2017.

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
1	363L00000X	Nurse Practitioner		R 197063-4	MINNESOTA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNP 4630	MINNESOTA	Yes

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
1	H400360502	MEDICARE PIN	MINNESOTA

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: 11/14/2023

NPI Synchronization or Removal

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