Anoka Psychological Services, Pa

LBN: Anoka Psychological Services, Pa
Anoka Psychological Services, Pa is an health care organization with primary practice located at 11427 Hanson Blvd Nw , Coon Rapids MN 55433-3719. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Anoka Psychological Services, Pa can be contacted via phone (763) 754-1531, or through Gordon, Dianne M via phone (763) 754-1531.

Contact Information

Primary practice address
11427 Hanson Blvd Nw Coon Rapids MN 55433-3719
Phone: (763) 754-1531
Fax: (763) 754-3155
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Dianne M LICSW
Phone: (763) 754-1531

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3751 Minnesota
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3751 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3751 Minnesota
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3751 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3751 Minnesota
Behavioral Health & Social Service Providers / Family 103TF0000X 3751 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7835 Minnesota

Profile Details

NPI number 1730302894
LBN Legal business name Anoka Psychological Services, Pa
DBA Doing business as
Authorized official Gordon, Dianne M LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730302894 NPPES
Other 402G3AN BCBS
Other 401G6AN BCBS
Other 110367 BCBS

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