ALLINA HEALTH SYSTEM NPI 1083197214

NPI Information

  • NPI: 1083197214
  • Provider Name: ALLINA HEALTH SYSTEM
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: ALLINA HEALTH ADDICTION AND PSYCHOTHERAPY-MERCY HOSPITAL-UNITY CAMPUS
  • Address: 520 OSBORNE RD NE, STE 120
    FRIDLEY, MN
    ZIP 55432
  • Phone: (763) 236-4300

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NPI Details

ALLINA HEALTH SYSTEM is an addiction (substance use disorder) psychologist in Fridley, MN. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. ALLINA HEALTH SYSTEM NPI is 1083197214. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Allina Health Addiction And Psychotherapy-mercy Hospital-unity Campus.

The provider's business location address is:

520 OSBORNE RD NE, STE 120
FRIDLEY, MN
ZIP 55432-718
Phone: (763) 236-4300

The provider's authorized official is Dominica Tallarico .
The authorized official title is Coo and has the following contact phone number (612) 222-2222.

The enumeration date for this NPI number is 9/13/2018 and was last updated on 1/14/2025.

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
1103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

What is NPI?

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This page was last updated on: 3/30/2025

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