| Center For Victims Of Torture | |
|
649 Dayton Ave Saint Paul MN 55104-6631 | |
| (612) 436-4840 | |
| Not Available |
| Full Name | Center For Victims Of Torture |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 649 Dayton Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Ka Thao (MEDICAL BILLING COORDINATOR) |
| Authorized Official Contact | 6124364860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Victims Of Torture 649 Dayton Ave Saint Paul MN 55104-6631 Ph: (612) 436-4840 | Center For Victims Of Torture 649 Dayton Ave Saint Paul MN 55104-6631 Ph: (612) 436-4840 |
| NPI Number | 1124111729 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 4688656291 |
|---|---|
| Medicare Enrollment ID | O20040607000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124111729 | NPI | - | NPPES |
| 22572 | Other | FM | HEALTH PARTNERS |
| 120700 | Other | MN | UCARE |
| 243513600 | Medicaid | MN | |
| 318LOCE | Other | MN | MN BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jean H Choe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164511739 PECOS PAC ID: 9133201221 Enrollment ID: I20080129000135 |
| Provider Name | Alison F Beckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437247525 PECOS PAC ID: 2668559956 Enrollment ID: I20080410000748 |
| Provider Name | In-zu Tuan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609941749 PECOS PAC ID: 7113078643 Enrollment ID: I20090624000047 |
| Provider Name | Molly Ab Drew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164615142 PECOS PAC ID: 0042647802 Enrollment ID: I20200218000290 |
| Provider Name | Amy F Kamel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992220396 PECOS PAC ID: 1759712151 Enrollment ID: I20200520000225 |
| Provider Name | Susan I Jasko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881829984 PECOS PAC ID: 9638500036 Enrollment ID: I20200520000355 |
| Provider Name | Jenna K Nomeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053716746 PECOS PAC ID: 0446671556 Enrollment ID: I20200528000044 |
| Provider Name | Jennifer C Scofield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285234146 PECOS PAC ID: 1557775681 Enrollment ID: I20210201000274 |
| Provider Name | Anna Leslie Solfest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447968839 PECOS PAC ID: 9638534712 Enrollment ID: I20230424002757 |
| Provider Name | Charissa B Cable |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902488323 PECOS PAC ID: 1759741952 Enrollment ID: I20230719004037 |
| Provider Name | Shruti Dasgupta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356794937 PECOS PAC ID: 4587024617 Enrollment ID: I20230720001350 |
| Provider Name | Sara M Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922345610 PECOS PAC ID: 3678096419 Enrollment ID: I20250402000849 |
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