| Affinity Psychological Services, P.c. | |
|
7401 Metro Blvd Ste 525 Edina MN 55439 | |
| (612) 268-5858 | |
| (612) 268-5868 |
| Full Name | Affinity Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 7401 Metro Blvd Ste 525, Edina, Minnesota |
| Authorized Official Name and Position | Meridee Rilen (PSYCHOLOGIST, PRESIDENT) |
| Authorized Official Contact | 6125645865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Psychological Services, P.c. 7401 Metro Blvd Ste 525 Edina MN 55439-3059 Ph: (612) 268-5858 | Affinity Psychological Services, P.c. 7401 Metro Blvd Ste 525 Edina MN 55439 Ph: (612) 268-5858 |
| NPI Number | 1245610856 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/17/2019 |
| Medicare PECOS PAC ID | 0749528552 |
|---|---|
| Medicare Enrollment ID | O20190220001363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245610856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP 5842 (Minnesota) | Primary |
| Provider Name | Kelly Ls Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790847135 PECOS PAC ID: 7517062201 Enrollment ID: I20070425000472 |
| Provider Name | Amy S Hilburger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023389186 PECOS PAC ID: 2769643006 Enrollment ID: I20120413000492 |
| Provider Name | Charlotte Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346529922 PECOS PAC ID: 0446401376 Enrollment ID: I20121127000106 |
| Provider Name | Amy N Tornio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117869 PECOS PAC ID: 8224300140 Enrollment ID: I20170828000241 |
| Provider Name | David Henry Frovarp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942744545 PECOS PAC ID: 3173889409 Enrollment ID: I20171102000795 |
| Provider Name | Alyson Ann Montplaisir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467952986 PECOS PAC ID: 5496003576 Enrollment ID: I20180806003114 |
| Provider Name | Meridee Rilen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790841773 PECOS PAC ID: 5294073003 Enrollment ID: I20190220001674 |
| Provider Name | Nikita Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346704830 PECOS PAC ID: 1850633553 Enrollment ID: I20190429002800 |
| Provider Name | Cori C Boehm-peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376856518 PECOS PAC ID: 4981937760 Enrollment ID: I20190611000016 |
| Provider Name | Hillary J Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992348908 PECOS PAC ID: 3678906013 Enrollment ID: I20191126000068 |
| Provider Name | George Dupuy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457857989 PECOS PAC ID: 1456600881 Enrollment ID: I20191231002162 |
| Provider Name | Dana Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972622694 PECOS PAC ID: 6305064098 Enrollment ID: I20200410001000 |
| Provider Name | Magan Anne Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346780939 PECOS PAC ID: 4880011535 Enrollment ID: I20200826003752 |
| Provider Name | Scott M Grandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942807771 PECOS PAC ID: 4981015443 Enrollment ID: I20201204001961 |
| Provider Name | Kelly Sternhagen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063863991 PECOS PAC ID: 4688088909 Enrollment ID: I20210128000664 |
| Provider Name | Danielle Kalin Norgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053996306 PECOS PAC ID: 7416366646 Enrollment ID: I20210429001194 |
| Provider Name | Jillana Joy Mccray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528627098 PECOS PAC ID: 5991104739 Enrollment ID: I20210526003142 |
| Provider Name | Poiab Vue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538484498 PECOS PAC ID: 8325449622 Enrollment ID: I20210624000323 |
| Provider Name | Natalie Taber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053947077 PECOS PAC ID: 3375934011 Enrollment ID: I20220106001849 |
| Provider Name | Emily M Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306598214 PECOS PAC ID: 7517351471 Enrollment ID: I20220218002257 |
| Provider Name | Terria I Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932851144 PECOS PAC ID: 4183018591 Enrollment ID: I20220301001995 |
| Provider Name | Chelse Bolin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376291211 PECOS PAC ID: 2567857857 Enrollment ID: I20220323002818 |
| Provider Name | Ann Duevel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821741406 PECOS PAC ID: 5294120580 Enrollment ID: I20220323002843 |
| Provider Name | Melissa Goroni Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184219974 PECOS PAC ID: 7810374170 Enrollment ID: I20220507000109 |
| Provider Name | Brianna Marie Pezon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366909285 PECOS PAC ID: 0547646119 Enrollment ID: I20221005000906 |
| Provider Name | Eleanor C Rizor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992399653 PECOS PAC ID: 6608246608 Enrollment ID: I20230109002383 |
| Provider Name | Emma Mae Buckingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144910621 PECOS PAC ID: 0244699668 Enrollment ID: I20230703002456 |
| Provider Name | Nicole Ann Keen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134799026 PECOS PAC ID: 9830550524 Enrollment ID: I20230727002129 |
| Provider Name | Stacy A Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245954171 PECOS PAC ID: 5395107502 Enrollment ID: I20230818001767 |
| Provider Name | Star Ora Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487195327 PECOS PAC ID: 6204283054 Enrollment ID: I20231115003290 |
| Provider Name | Erin Beecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689196230 PECOS PAC ID: 0143678813 Enrollment ID: I20231120001157 |
| Provider Name | Matthew Douglas Albers Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831733740 PECOS PAC ID: 8123478880 Enrollment ID: I20231221002441 |
| Provider Name | Christine Dudero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255092326 PECOS PAC ID: 9133579774 Enrollment ID: I20231222001950 |
| Provider Name | Andrea Undlin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073066197 PECOS PAC ID: 6103276746 Enrollment ID: I20231222002057 |
| Provider Name | Barbara Ann Curran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871232116 PECOS PAC ID: 7416307061 Enrollment ID: I20231222002259 |
| Provider Name | Christin L Seirup |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912226820 PECOS PAC ID: 3779933221 Enrollment ID: I20231222002832 |
| Provider Name | Abigail Heisserer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477149755 PECOS PAC ID: 8325498819 Enrollment ID: I20231226000539 |
| Provider Name | Rebecca Sawyer-smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083085468 PECOS PAC ID: 5799135026 Enrollment ID: I20231228000888 |
| Provider Name | Sherry L. Fridlund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891912267 PECOS PAC ID: 4385095215 Enrollment ID: I20240104003684 |
| Provider Name | Jennifer Hartsell Hahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558809111 PECOS PAC ID: 7214388800 Enrollment ID: I20240108005641 |
| Provider Name | Elizabeth Kathleen Ritter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609406628 PECOS PAC ID: 6204287808 Enrollment ID: I20240108005746 |
| Provider Name | Vladimir Aleksandrovich Gordeyev |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609324128 PECOS PAC ID: 9335590835 Enrollment ID: I20240109003652 |
| Provider Name | Steven Ringsmuth Stolpman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083256267 PECOS PAC ID: 4880045384 Enrollment ID: I20240109003707 |
| Provider Name | Charmagne Derichs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942855077 PECOS PAC ID: 7113378621 Enrollment ID: I20240109003957 |
| Provider Name | Kelsey Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164957858 PECOS PAC ID: 0042661472 Enrollment ID: I20240110000169 |
| Provider Name | Sarah Engeswick Borger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316558844 PECOS PAC ID: 9931550365 Enrollment ID: I20240110000230 |
| Provider Name | Sara Eby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598082307 PECOS PAC ID: 4981055258 Enrollment ID: I20240111000415 |
| Provider Name | Justin Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629593504 PECOS PAC ID: 5496106551 Enrollment ID: I20240112002711 |
| Provider Name | Pamela Beckering |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437580669 PECOS PAC ID: 0840641908 Enrollment ID: I20240112002731 |
| Provider Name | Heather M Cassidy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285131359 PECOS PAC ID: 2668824707 Enrollment ID: I20240115000238 |
| Provider Name | Marcia Michele Seebachan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508472374 PECOS PAC ID: 9234559907 Enrollment ID: I20240122001270 |
| Provider Name | Sarah Gokey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295323798 PECOS PAC ID: 9032561410 Enrollment ID: I20240122002342 |
| Provider Name | Sheri Lynn Solheim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972825560 PECOS PAC ID: 9739531112 Enrollment ID: I20240122002465 |
| Provider Name | Sierra Nichols |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992390785 PECOS PAC ID: 5799138525 Enrollment ID: I20240129002515 |
| Provider Name | Jeffrey Eric John Brunsgaard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356847701 PECOS PAC ID: 9739532300 Enrollment ID: I20240130003550 |
| Provider Name | Abby Florence Wulfing |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790140002 PECOS PAC ID: 1759734288 Enrollment ID: I20240131002214 |
| Provider Name | Samantha Swafford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356068217 PECOS PAC ID: 8022461516 Enrollment ID: I20240131004203 |
| Provider Name | Rebecca Jane Ellmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073160776 PECOS PAC ID: 0143664755 Enrollment ID: I20240221003664 |
| Provider Name | Ann Marie Shotwell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023314184 PECOS PAC ID: 0547604084 Enrollment ID: I20240222003903 |
| Provider Name | Denise Lynn Wing |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336208503 PECOS PAC ID: 5698111854 Enrollment ID: I20240311000168 |
| Provider Name | Kelsey Rosamond Malmstedt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740925932 PECOS PAC ID: 8426494659 Enrollment ID: I20240311002545 |
Laski Mental Wellness & Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7101 York Ave S Ste 145, Edina, MN 55435 Phone: 612-202-0535 Fax: 763-999-6107 | |
Evolving Woman Enterprises, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Metro Blvd, Suite 455, Edina, MN 55439 Phone: 952-835-1616 Fax: 952-835-6182 | |
Angela Brust, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5200 Willson Rd Ste 307, Edina, MN 55424 Phone: 612-987-8070 | |
Mooney Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S, Suite 224, Edina, MN 55435 Phone: 952-831-0422 Fax: 952-831-0443 | |
Thrive Modern Health P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7101 York Ave S Ste 157, Edina, MN 55435 Phone: 612-254-6414 | |
Heartland Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6950 France Ave S Ste 14, Edina, MN 55435 Phone: 952-922-9056 | |
Johnson Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S Ste 224, Edina, MN 55435 Phone: 612-205-7989 |