Philip Psychological Clinic

LBN: Philip Psychological Clinic
Philip Psychological Clinic is an health care organization with primary practice located at 510 Sibley Street Suite 200, Mankato MN 56001. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Philip Psychological Clinic can be contacted via phone (207) 345-5049, or through Philip, Ponvelil Philipose via phone (507) 345-5049.

Contact Information

Primary practice address
510 Sibley Street Suite 200 Mankato MN 56001
Phone: (207) 345-5049
Fax: (507) 345-5049
Website:
Map and Directions
Authorized official contact:
Name: Philip, Ponvelil Philipose PHD CLINICAL PSYCH
Phone: (507) 345-5049

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2258 Minnesota

Profile Details

NPI number 1326216169
LBN Legal business name Philip Psychological Clinic
DBA Doing business as
Authorized official Philip, Ponvelil Philipose PHD CLINICAL PSYCH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2008
Last updated Feb 14th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326216169 NPPES
Minnesota Other 41516PH BCBS

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