Provider Type Icon

LIFETRACK RESOURCES INC. NPI 1225045362


NPI Information

NPI: 1225045362
Provider Name: LIFETRACK RESOURCES, INC.

Former Legal Business Name: ST. PAUL REHABILITATION CENTER

Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
709 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104
Phone: (651) 227-8471
Get Directions

LIFETRACK RESOURCES, INC. is a clinical child and adolescent psychologist in Saint Paul, MN. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. LIFETRACK RESOURCES, INC. NPI is 1225045362. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is St. Paul Rehabilitation Center.

The provider's business location address is:

709 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104-804
Phone: (651) 227-8471
Fax: (651) 265-2318

The provider's authorized official is Trixie Ann Golberg .
The authorized official title is President and has the following contact phone number (651) 227-8471.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 5/30/2013.


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
11041C0700XSocial WorkerClinicalNo
2224Z00000XOccupational Therapy AssistantNo
3225100000XPhysical TherapistNo
42251P0200XPhysical TherapistPediatricsNo
5225200000XPhysical Therapy AssistantNo
6225X00000XOccupational TherapistNo
7235Z00000XSpeech-Language PathologistNo
8103TC2200XPsychologistClinical Child & AdolescentYes

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
1995555100MEDICAIDMINNESOTA
2108931OTHERMINNESOTAUCARE - MENTAL HEALTH
3505120046OTHERMINNESOTAMHP
427779PAOTHERMINNESOTABCBS - PT
5246504MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAPT/OT/SP
613112SPOTHERMINNESOTABCBS - OT
75900058OTHERMINNESOTAMEDICA DUAL SOLUTION
8431M9LIOTHERMINNESOTABCBS - MENTAL HEALTH
9102486OTHERMINNESOTAUCARE - PT/OT/SP
1028605PAOTHERMINNESOTABCBS - SP
11119905OTHERMINNESOTACHOICE PLUS
126400054OTHERMINNESOTAMEDICA CROSS OVER MEDICAR
13553476300MEDICAIDMINNESOTA
14995555101MEDICAIDMINNESOTA
151019353OTHERMINNESOTAPREFERRED ONE
16=========329OTHERMINNESOTAHEALTHPARTNERS

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

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.