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CORE PROFESSIONAL SERVICES P.A. NPI 1841382108


NPI Information

NPI: 1841382108
Provider Name: CORE PROFESSIONAL SERVICES, P.A.
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
617 OAK ST
BRAINERD, MN
ZIP 56401
617 OAK ST
BRAINERD, MN
ZIP 56401
Phone: (218) 829-7140
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CORE PROFESSIONAL SERVICES, P.A. is a psychologist in Brainerd, MN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. CORE PROFESSIONAL SERVICES, P.A. NPI is 1841382108. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

617 OAK ST
BRAINERD, MN
ZIP 56401-610
Phone: (218) 829-7140

The provider's authorized official is Brenda Weber .
The authorized official title is Office Manager and has the following contact phone number (218) 839-4785.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 3/31/2014.


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
1103TC0700XPsychologistClinical0103MINNESOTANo
2103TC0700XPsychologistClinical2585MINNESOTANo
3103TC0700XPsychologistClinical4659MINNESOTANo
4103TC0700XPsychologistClinical1885MINNESOTANo
5103TC0700XPsychologistClinical4630MINNESOTANo
6103TC0700XPsychologistClinical1517MINNESOTANo
71041C0700XSocial WorkerClinical00131MINNESOTANo
8103T00000XPsychologistMINNESOTAYes
9103T00000XPsychologistYes
1103TC0700XPsychologistClinical0103MINNESOTANo
2103TC0700XPsychologistClinical2585MINNESOTANo
3103TC0700XPsychologistClinical4659MINNESOTANo
4103TC0700XPsychologistClinical1885MINNESOTANo
5103TC0700XPsychologistClinical4630MINNESOTANo
6103TC0700XPsychologistClinical1517MINNESOTANo
71041C0700XSocial WorkerClinical00131MINNESOTANo
8103T00000XPsychologistMINNESOTAYes
9103T00000XPsychologistYes

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
162G71COOTHERMINNESOTABCBS
262G67COOTHERMINNESOTABCBS
3C03143MEDICARE OSCAR/CERTIFICATIONMINNESOTA
462G69COOTHERMINNESOTABCBS
5028078000MEDICAIDMINNESOTA
162G71COOTHERMINNESOTABCBS
262G67COOTHERMINNESOTABCBS
3C03143MEDICARE OSCAR/CERTIFICATIONMINNESOTA
462G69COOTHERMINNESOTABCBS
5028078000MEDICAIDMINNESOTA

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

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