FARIBAULT PSYCHOLOGICAL SERVICES PA NPI 1457344731

NPI Information

NPI: 1457344731
Provider Name: FARIBAULT PSYCHOLOGICAL SERVICES PA
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
329 FARIBAULT RD
FARIBAULT, MN
ZIP 55021
Phone: (507) 334-6518
Get Directions

FARIBAULT PSYCHOLOGICAL SERVICES PA is a mental health (including community mental health center) clinic center in Faribault, MN. FARIBAULT PSYCHOLOGICAL SERVICES PA NPI is 1457344731. The provider is registered as an organization entity type.

The provider's business location address is:

329 FARIBAULT RD
FARIBAULT, MN
ZIP 55021-780
Phone: (507) 334-6518
Fax: (507) 333-2307

The provider's authorized official is Glenn Holman .
The authorized official title is President and has the following contact phone number (507) 334-6518.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 8/22/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	34146HO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	D179	OTHER		U CARE
3	15534	OTHER		HEALTH PARTNERS
4	97491	OTHER		PREFERRED ONE
5	D179	OTHER		SOUTH COUNTRY HEALTH CARE

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

NPI Synchronization or Removal

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