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MINERVA CENTER FOR PSYCHOLOGY PLLC NPI 1528846961


NPI Information

NPI: 1528846961
Provider Name: MINERVA CENTER FOR PSYCHOLOGY PLLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
11185 LAKE BLVD STE 205
CHISAGO CITY, MN
ZIP 55013
Phone: (612) 865-9150
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MINERVA CENTER FOR PSYCHOLOGY PLLC is a clinical psychologist in Chisago City, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MINERVA CENTER FOR PSYCHOLOGY PLLC NPI is 1528846961. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11185 LAKE BLVD STE 205
CHISAGO CITY, MN
ZIP 55013-814
Phone: (612) 865-9150

The provider's authorized official is Cheri Kuhn .
The authorized official title is Owner and has the following contact phone number (612) 865-9150.

The enumeration date for this NPI number is 9/18/2023 and was last updated on 10/5/2023.


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
1103TC0700XPsychologistClinicalYes

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: 5/5/2024

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.