Midwest Clinical Psychologist
LBN: Midwest Clinical Psychologist
Midwest Clinical Psychologist is an health care organization with primary practice located at 5760 Royal Oaks Dr , Shoreview MN 55126-8490. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Midwest Clinical Psychologist can be contacted via phone (612) 534-4118, or through Carten, Roger via phone (651) 534-4118.
Contact Information
Primary practice address
5760 Royal Oaks Dr
Shoreview MN 55126-8490
Phone: (612) 534-4118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X |
Profile Details
| NPI number | 1558338673 |
|---|---|
| LBN Legal business name | Midwest Clinical Psychologist |
| DBA Doing business as | |
| Authorized official | Carten, Roger PH.D., L.P. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558338673 | NPPES |
| Minnesota | Other | 02522CA | BLUE CROSS BLUE SHIELD MN |
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