| Healthwise Psychology, Pa | |
|
11280 86th Ave N Maple Grove MN 55369-4510 | |
| (763) 400-7828 | |
| (763) 400-7444 |
| Full Name | Healthwise Psychology, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 11280 86th Ave N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Kristin B Dahl (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6125995197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthwise Psychology, Pa 11280 86th Ave N Maple Grove MN 55369-4510 Ph: (763) 400-7828 | Healthwise Psychology, Pa 11280 86th Ave N Maple Grove MN 55369-4510 Ph: (763) 400-7828 |
| NPI Number | 1184920753 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 05/29/2014 |
| Medicare PECOS PAC ID | 2567685647 |
|---|---|
| Medicare Enrollment ID | O20140516001784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184920753 | NPI | - | NPPES |
| 558677200 | Medicaid | MN | |
| H100135821 | Other | MN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | (Minnesota) | Secondary |
| Provider Name | Caryl E Boehnert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780848515 PECOS PAC ID: 8224013818 Enrollment ID: I20040618001114 |
| Provider Name | Dorothy T Soukup |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497846950 PECOS PAC ID: 4981654316 Enrollment ID: I20050124001027 |
| Provider Name | Janice Eilene Beauduy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184686396 PECOS PAC ID: 7517990674 Enrollment ID: I20050919000278 |
| Provider Name | Kirsten M Wyffels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275619223 PECOS PAC ID: 1557361482 Enrollment ID: I20061228000025 |
| Provider Name | Marci M Mueller Theisen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578697173 PECOS PAC ID: 6507956539 Enrollment ID: I20071214000252 |
| Provider Name | Jackie Lyn Micklewright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669705638 PECOS PAC ID: 0345411674 Enrollment ID: I20110919000350 |
| Provider Name | Jamie Z Nupen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548533011 PECOS PAC ID: 3476792268 Enrollment ID: I20130627000427 |
| Provider Name | Kristin Beth Dahl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134382914 PECOS PAC ID: 9739302829 Enrollment ID: I20140520001450 |
| Provider Name | Heidi Catrice Kopacek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326463944 PECOS PAC ID: 7113140856 Enrollment ID: I20140527000668 |
| Provider Name | Julie A Karels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235400573 PECOS PAC ID: 3173810447 Enrollment ID: I20160930000093 |
| Provider Name | Haley N Carlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013364199 PECOS PAC ID: 5991093635 Enrollment ID: I20161012000310 |
| Provider Name | Britta Marie Lundberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861815490 PECOS PAC ID: 7517241433 Enrollment ID: I20170221001245 |
| Provider Name | Thomas D Kennison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760731731 PECOS PAC ID: 0648597393 Enrollment ID: I20171010002848 |
| Provider Name | Lauren M Simensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366968281 PECOS PAC ID: 0749546919 Enrollment ID: I20171106000678 |
| Provider Name | Kelly Andrea Berscheit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851816227 PECOS PAC ID: 9931248697 Enrollment ID: I20180104000038 |
| Provider Name | Nicole M Marcouiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407364565 PECOS PAC ID: 2860753449 Enrollment ID: I20180222000029 |
| Provider Name | Kathryn Angela Schuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023423027 PECOS PAC ID: 6002177581 Enrollment ID: I20180223002257 |
| Provider Name | Marysa Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154851053 PECOS PAC ID: 0749552875 Enrollment ID: I20180724003628 |
| Provider Name | Natalie N Brandsrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043797848 PECOS PAC ID: 5092064428 Enrollment ID: I20180820000030 |
| Provider Name | Ju-ping Huang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477984433 PECOS PAC ID: 6507110400 Enrollment ID: I20181113000584 |
| Provider Name | Jessica A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902364656 PECOS PAC ID: 2062749922 Enrollment ID: I20190815000337 |
| Provider Name | Sarah Cross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659506525 PECOS PAC ID: 4082924642 Enrollment ID: I20200403002021 |
| Provider Name | Robert A Hinman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013089937 PECOS PAC ID: 2264850106 Enrollment ID: I20200909003143 |
| Provider Name | Elizabeth A Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245846740 PECOS PAC ID: 3476973660 Enrollment ID: I20201008001560 |
| Provider Name | Cynthia Ann Geil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366874067 PECOS PAC ID: 8820399348 Enrollment ID: I20210121002325 |
| Provider Name | Maggie Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659957231 PECOS PAC ID: 1759779606 Enrollment ID: I20211026000437 |
| Provider Name | Kimbi Glenn Marenakos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073031902 PECOS PAC ID: 2961747019 Enrollment ID: I20230111002684 |
| Provider Name | Erica Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992421085 PECOS PAC ID: 3779940663 Enrollment ID: I20230608000811 |
| Provider Name | Kathleen Elizabeth Risko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659517928 PECOS PAC ID: 7214311877 Enrollment ID: I20230828002794 |
| Provider Name | Kayla M Kvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194501643 PECOS PAC ID: 3971958794 Enrollment ID: I20231023000089 |
| Provider Name | Alison Holkup |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942660964 PECOS PAC ID: 2668816570 Enrollment ID: I20240220002085 |
| Provider Name | Nina Vadnais |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366081333 PECOS PAC ID: 1951745777 Enrollment ID: I20240221000088 |
| Provider Name | Darci Witasek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447560172 PECOS PAC ID: 1850617234 Enrollment ID: I20240221000378 |
| Provider Name | Erin Green |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316375348 PECOS PAC ID: 2365886082 Enrollment ID: I20240221000580 |
| Provider Name | Kelly Senesac |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508072604 PECOS PAC ID: 7416391057 Enrollment ID: I20240222000352 |
| Provider Name | Nicholas Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841662988 PECOS PAC ID: 3870938293 Enrollment ID: I20240226002704 |
| Provider Name | Jonathan Boorman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063862043 PECOS PAC ID: 2163867193 Enrollment ID: I20240229003253 |
| Provider Name | Lorilee Virnig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629511027 PECOS PAC ID: 8921442609 Enrollment ID: I20240306001545 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790183614 PECOS PAC ID: 5092151308 Enrollment ID: I20240308002695 |
| Provider Name | Jennifer Nowak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497229637 PECOS PAC ID: 5991141202 Enrollment ID: I20240308002742 |
| Provider Name | Rebecca Bakker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508490905 PECOS PAC ID: 0749626869 Enrollment ID: I20240312002128 |
Leah Vancura Therapeutic Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11670 Fountains Dr Ste 200, Maple Grove, MN 55369 Phone: 612-355-0693 | |
Healthy Hands Housing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8834 Jonquil Ln N, Maple Grove, MN 55369 Phone: 612-703-6910 | |
Amy J. Finn, Marriage And Family Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7382 Kirkwood Ct, Maple Grove, MN 55369 Phone: 612-290-8054 | |
Christian Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 800-438-1772 Fax: 262-293-9737 | |
Trellis Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13700 83rd Way N, 201, Maple Grove, MN 55369 Phone: 763-354-0508 | |
Peterson Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10650 County Road 81 Ste 205, Maple Grove, MN 55369 Phone: 608-332-3490 | |
Hanson Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 Hemlock Ln N Suite 108, Maple Grove, MN 55369 Phone: 763-533-5339 Fax: 763-390-0862 |