| Danielle Golden, Crna, Pa | |
|
3640 Talmage Cir Ste 216 Vadnais Heights MN 55110-7100 | |
| (952) 431-5330 | |
| (952) 431-5334 |
| Full Name | Danielle Golden, Crna, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3640 Talmage Cir Ste 216, Vadnais Heights, Minnesota |
| Authorized Official Name and Position | Danielle L. Golden (CEO) |
| Authorized Official Contact | 9524315330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Golden, Crna, Pa 3640 Talmage Cir Ste 216 Vadnais Heights MN 55110-7100 Ph: (952) 431-5330 | Danielle Golden, Crna, Pa 3640 Talmage Cir Ste 216 Vadnais Heights MN 55110-7100 Ph: (952) 431-5330 |
| NPI Number | 1598954687 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Medicare PECOS PAC ID | 6305934597 |
|---|---|
| Medicare Enrollment ID | O20071126000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598954687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 30635 (Minnesota) | Primary |
| Provider Name | Mary E Lunde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437135415 PECOS PAC ID: 7416970066 Enrollment ID: I20060110000105 |
| Provider Name | Barry Rittberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356459994 PECOS PAC ID: 1355471863 Enrollment ID: I20100610000081 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20100804000287 |
| Provider Name | Mckensie M Sawyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376891671 PECOS PAC ID: 3173774262 Enrollment ID: I20121120000213 |
| Provider Name | Katherine S Fabrizio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609895531 PECOS PAC ID: 6406009588 Enrollment ID: I20130124000147 |
| Provider Name | Carissa L Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447554027 PECOS PAC ID: 4688801962 Enrollment ID: I20140723001561 |
| Provider Name | Peggy L Mcnicholes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598146094 PECOS PAC ID: 8325341308 Enrollment ID: I20160126000490 |
| Provider Name | Danielle Ferkingstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477806800 PECOS PAC ID: 5395980536 Enrollment ID: I20171018000050 |
| Provider Name | Nicole Buatala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568985257 PECOS PAC ID: 2860758851 Enrollment ID: I20171107003224 |
| Provider Name | Patrick T Schoenecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689132185 PECOS PAC ID: 9335482439 Enrollment ID: I20190513000887 |
| Provider Name | Daniel Montville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952806093 PECOS PAC ID: 9830446756 Enrollment ID: I20190807000464 |
| Provider Name | Glen H Rebman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487181558 PECOS PAC ID: 4385998715 Enrollment ID: I20191107002271 |
| Provider Name | Matthew Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235583550 PECOS PAC ID: 9032402367 Enrollment ID: I20200917000069 |
| Provider Name | Megan Nicole Kummerlowe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689202954 PECOS PAC ID: 3577987999 Enrollment ID: I20210903000103 |
| Provider Name | Sara Ann Vipond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417616764 PECOS PAC ID: 5597158329 Enrollment ID: I20220131001418 |
| Provider Name | Janeil A Schoenbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558024521 PECOS PAC ID: 3072907302 Enrollment ID: I20220302000092 |
| Provider Name | Wayne David Leroy Bentham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609952407 PECOS PAC ID: 0749189777 Enrollment ID: I20220312000320 |
| Provider Name | Elizabeth Maria Kuczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760126510 PECOS PAC ID: 4183002520 Enrollment ID: I20220526000203 |
| Provider Name | Danielle C Goetzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356070080 PECOS PAC ID: 6709261522 Enrollment ID: I20220915000578 |
| Provider Name | Jordan Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699323733 PECOS PAC ID: 1951787514 Enrollment ID: I20221005000649 |
| Provider Name | Jennifer Kahmeyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881121150 PECOS PAC ID: 2961854435 Enrollment ID: I20240119003044 |
| Provider Name | Kelsey Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184493355 PECOS PAC ID: 3678918836 Enrollment ID: I20240227002831 |
| Provider Name | Andrea Stankiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548011984 PECOS PAC ID: 6103366232 Enrollment ID: I20240904002157 |
| Provider Name | Jeni Gronemus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669544649 PECOS PAC ID: 6507216090 Enrollment ID: I20241226002029 |
| Provider Name | Kristi Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861546186 PECOS PAC ID: 6608948849 Enrollment ID: I20250328002191 |
| Provider Name | Cody Lee Reinke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689321291 PECOS PAC ID: 9335663905 Enrollment ID: I20250404002705 |
Metanoia Therapy, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1044 Centerville Cir, Vadnais Heights, MN 55127 Phone: 612-467-9212 | |
Parker Collins Family Mental Health, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1056 Centerville Cir, Vadnais Heights, MN 55127 Phone: 651-604-7771 |