| North Psychology Clinic Pa | |
|
6120 Earle Brown Drive Ste. 520 North Psychology Clinic P.a. Brooklyn Center MN 55430-2123 | |
| (763) 531-0566 | |
| (763) 531-0602 |
| Full Name | North Psychology Clinic Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 6120 Earle Brown Drive Ste. 520, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Diane K. Felton (PRESIDENT) |
| Authorized Official Contact | 7635310566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Psychology Clinic Pa 6120 Earle Brown Drive Ste. 520 North Psychology Clinic Pa Brooklyn Center MN 55430-2123 Ph: (763) 531-0566 | North Psychology Clinic Pa 6120 Earle Brown Drive Ste. 520 North Psychology Clinic P.a. Brooklyn Center MN 55430-2123 Ph: (763) 531-0566 |
| NPI Number | 1265462212 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 10/05/2016 |
| Medicare PECOS PAC ID | 3870545668 |
|---|---|
| Medicare Enrollment ID | O20050221000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265462212 | NPI | - | NPPES |
| 30786NO | Other | MN | BLUE CROSS BLUE SHIEL |
| 973518600 | Medicaid | MN | |
| 30787NO | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Minnesota) | Primary |
| Provider Name | Rochelle J Brandl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750458899 PECOS PAC ID: 6002817020 Enrollment ID: I20070118000049 |
| Provider Name | Thomas A Breitenbucher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699846154 PECOS PAC ID: 9638350465 Enrollment ID: I20110225000638 |
| Provider Name | Devon Elizabeth Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003037458 PECOS PAC ID: 9335387216 Enrollment ID: I20130606000524 |
| Provider Name | Michelle R Mandell-paulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912425158 PECOS PAC ID: 6608268677 Enrollment ID: I20220125001495 |
Advanced Behavioral Health, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430 Phone: 763-560-8331 Fax: 763-560-8431 | |
The Way Community Behavioral Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429 Phone: 763-291-0540 | |
Lds Family Services Minnesota Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6120 Earle Brown Dr Ste 210, Brooklyn Center, MN 55430 Phone: 763-560-0900 Fax: 763-560-1288 | |
Maria Marino And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 County Road 10, Brooklyn Center, MN 55429 Phone: 612-719-7298 Fax: 763-898-3584 | |
Dominion Healthcare Services L Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5421 Penn Ave N, Brooklyn Center, MN 55430 Phone: 612-258-8794 | |
You Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6040 Earle Brown Dr, , Suite 101, Brooklyn Center, MN 55430 Phone: 612-516-3745 Fax: 888-575-7574 | |
Northwest Irts Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4408 69th Ave N, Brooklyn Center, MN 55429 Phone: 763-566-3650 |