Associated Clinic Of Psychology Inc
LBN: Associated Clinic Of Psychology Inc
Associated Clinic Of Psychology Inc is an health care organization with primary practice located at 4027 County Road 25 , St Louis Park MN 55416. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Associated Clinic Of Psychology Inc can be contacted via phone (612) 925-6033, or through Brose, John E via phone (612) 925-6033.
Contact Information
Primary practice address
4027 County Road 25
St Louis Park MN 55416
Phone: (612) 925-6033
Fax: (612) 925-8496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 811029-1-MHC | Minnesota |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 811029-1-MHC | Minnesota |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 811029-1-MHC | Minnesota |
Profile Details
| NPI number | 1588741292 |
|---|---|
| LBN Legal business name | Associated Clinic Of Psychology Inc |
| DBA Doing business as | |
| Authorized official | Brose, John E PHD LP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 6th, 2018 - about 6 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 | 1588741292 | NPPES |
| Minnesota | Other | CT0661 | RAILROAD MEDICARE |
| Minnesota | Other | 3920 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 277723100 | RAILROAD MEDICARE |
| Minnesota | Other | 475-94AS | RAILROAD MEDICARE |
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