| Mr James T Molberg, LP | |
|
900 Golf Ave Sw, Pine City, MN 55063-5015 | |
| (320) 629-7600 | |
| (320) 629-7900 |
| Full Name | Mr James T Molberg |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 33 Years |
| Location | 900 Golf Ave Sw, Pine City, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649265281 | NPI | - | NPPES |
| 114812 | Other | MN | UCARE MN |
| 6253648 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 1032821 | Other | MN | BEHAVIORAL HEALTHCARE PRO |
| 522222200 | Medicaid | MN | |
| HP37571 | Other | HEALTH PARTNERS | |
| 233J0M0 | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3801 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Therapeutic Services Agency Inc | 4981877891 | 9 |
| Entity Name | Therapeutic Services Agency Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497741607 PECOS PAC ID: 4981877891 Enrollment ID: O20111109000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James T Molberg, LP 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 | Mr James T Molberg, LP 900 Golf Ave Sw, Pine City, MN 55063-5015 Ph: (320) 629-7600 |
Dr. Kari Michelle-ferber Maynard, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 520 2nd Ave Se, Pine City, MN 55063 Phone: 320-322-5130 | |
Jeffrey Pounds, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 | |
Katherine Elizabeth Johnson, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071 | |
Mr. Scott Robert Emmons, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Golf Ave Sw, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 |