MAPLEWOOD PSYCHOLOGY P.A. – NPI #1386716983
Psychologist

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Health Care Provider Taxonomy Code for Psychologist

MAPLEWOOD PSYCHOLOGY P.A. is a psychologist located in MAPLEWOOD, MN. NPPES has assigned the NPI number 1386716983 to MAPLEWOOD PSYCHOLOGY P.A. on November 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 103TC0700X from the Health Care Provider Taxonomy code set, which is classified as Psychologist, specializing in Clinical

The NPI profile was previously updated about 11 years ago on Jul 23, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAPLEWOOD PSYCHOLOGY P.A. below.

NPI Profile for
MAPLEWOOD PSYCHOLOGY P.A.

NPI Number
1386716983
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAPLEWOOD PSYCHOLOGY P.A.
Primary location
2399 ARIEL ST N STE D
MAPLEWOOD, MN 55109-2203
Phone: (651) 770-1311 Fax: (651) 770-1879
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDRA WICK
DIRECTOR
Phone: (651) 770-1311
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
103TC0700X
- Psychologist / Clinical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.