| Minnesota Center For Psychology, Llc | |
|
2387 University Avenue West Saint Paul MN 55114-0107 | |
| (952) 200-7796 | |
| Not Available |
| Full Name | Minnesota Center For Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2387 University Avenue West, Saint Paul, Minnesota |
| Authorized Official Name and Position | Gerald P Crimmins (MANAGER) |
| Authorized Official Contact | 9522007796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Center For Psychology, Llc Po Box 14107 2387 University Avenue West Saint Paul MN 55114-0107 Ph: (952) 200-7796 | Minnesota Center For Psychology, Llc 2387 University Avenue West Saint Paul MN 55114-0107 Ph: (952) 200-7796 |
| NPI Number | 1023258662 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 02/23/2009 |
| Medicare PECOS PAC ID | 2264583954 |
|---|---|
| Medicare Enrollment ID | O20090618000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023258662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP4454 (Minnesota) | Primary |
| Provider Name | Gerald P Crimmins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063499499 PECOS PAC ID: 9830087279 Enrollment ID: I20040308001109 |
| Provider Name | Reena Pathak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275510778 PECOS PAC ID: 3577530393 Enrollment ID: I20040913000240 |
| Provider Name | Jeannine K Myrvik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043404775 PECOS PAC ID: 7911093778 Enrollment ID: I20071010000293 |
| Provider Name | David L Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134133374 PECOS PAC ID: 3375691488 Enrollment ID: I20090429000463 |
| Provider Name | Amy R Brandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063715977 PECOS PAC ID: 4789868795 Enrollment ID: I20110414000751 |
| Provider Name | Joe J Groninga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528343449 PECOS PAC ID: 9537335088 Enrollment ID: I20120104000475 |
| Provider Name | Barbara A Lehmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699000760 PECOS PAC ID: 5799931986 Enrollment ID: I20120802000707 |
| Provider Name | Kristin L Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205105426 PECOS PAC ID: 1052541372 Enrollment ID: I20140307000010 |
| Provider Name | Kabita Roy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154678936 PECOS PAC ID: 7416172739 Enrollment ID: I20140630001679 |
| Provider Name | Lisa Dubois Schmitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689980955 PECOS PAC ID: 2264658178 Enrollment ID: I20140730001659 |
| Provider Name | Emily J Graesser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336551506 PECOS PAC ID: 8820301070 Enrollment ID: I20150717001032 |
| Provider Name | Benjamin Dieffenbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467809624 PECOS PAC ID: 0244520716 Enrollment ID: I20160613001319 |
| Provider Name | Julie A Karels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235400573 PECOS PAC ID: 3173810447 Enrollment ID: I20160930000093 |
| Provider Name | Jennifer J Solin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790053460 PECOS PAC ID: 9335424985 Enrollment ID: I20170321002342 |
| Provider Name | Caitlin Dubois Schmitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306366877 PECOS PAC ID: 1153695184 Enrollment ID: I20170914002266 |
| Provider Name | Terra L Sorg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932504685 PECOS PAC ID: 0446517445 Enrollment ID: I20171129002552 |
| Provider Name | Sheena M Sikorski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881181832 PECOS PAC ID: 4284983271 Enrollment ID: I20180824000776 |
| Provider Name | Caitlin E Block |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841741626 PECOS PAC ID: 0244565430 Enrollment ID: I20190710002123 |
| Provider Name | Andrea E Grey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982258125 PECOS PAC ID: 9436582624 Enrollment ID: I20191202000741 |
| Provider Name | David Romano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326410606 PECOS PAC ID: 7315370475 Enrollment ID: I20191203001308 |
| Provider Name | Stephanie A Dietz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467083436 PECOS PAC ID: 2961823885 Enrollment ID: I20200602000779 |
| Provider Name | Leah A Kiefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154925782 PECOS PAC ID: 6002220654 Enrollment ID: I20210122001491 |
| Provider Name | Dayne M Bartlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457950503 PECOS PAC ID: 8527474501 Enrollment ID: I20210317002196 |
| Provider Name | Jessica Banitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679160717 PECOS PAC ID: 6709292782 Enrollment ID: I20210317002222 |
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