North Psychology Clinic Pa

LBN: North Psychology Clinic Pa
North Psychology Clinic Pa is an health care organization with primary practice located at 6120 Earle Brown Drive Ste. 520 North Psychology Clinic P.A., Brooklyn Center MN 55430-2123. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. North Psychology Clinic Pa can be contacted via phone (763) 531-0566, or through Felton, Diane K. via phone (763) 531-0566.

Contact Information

Primary practice address
6120 Earle Brown Drive Ste. 520 North Psychology Clinic P.A. Brooklyn Center MN 55430-2123
Phone: (763) 531-0566
Fax: (763) 531-0602
Website:
Map and Directions
Authorized official contact:
Name: Felton, Diane K. PH.D LP
Phone: (763) 531-0566

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Minnesota

Profile Details

NPI number 1265462212
LBN Legal business name North Psychology Clinic Pa
DBA Doing business as
Authorized official Felton, Diane K. PH.D LP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 5th, 2016 - about 8 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 1265462212 NPPES
Minnesota Other 30786NO BLUE CROSS BLUE SHIEL
Minnesota MEDICAID 973518600 BLUE CROSS BLUE SHIEL
Minnesota Other 30787NO BLUE CROSS BLUE SHIEL

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