NORTHERN PSYCHIATRIC ASSOCIATES – NPI #1083725147
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

NORTHERN PSYCHIATRIC ASSOCIATES is a psychiatry & neurologist located in BAXTER, MN. NPPES has assigned the NPI number 1083725147 to NORTHERN PSYCHIATRIC ASSOCIATES on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHERN PSYCHIATRIC ASSOCIATES” is a dba name, the actual legal business name for this organization is DAVID C. ANDERHOLM, MD, PA. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 3 years ago on Mar 15, 2023. 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 NORTHERN PSYCHIATRIC ASSOCIATES below.

NPI Profile for
DAVID C. ANDERHOLM, MD, PA

NPI Number
1083725147
Enumeration Date

(about 20 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
DAVID C. ANDERHOLM, MD, PA
Doing Business As (dba): NORTHERN PSYCHIATRIC ASSOCIATES
Primary location
7115 FORTHUN RD
SUITE 105
BAXTER, MN 56425-8597
Phone: (218) 454-0090 Fax: (218) 454-0091
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELLIOT RICHELSON
DIRECTOR, PRESIDENT, SECRETARY, AND
Phone: (904) 605-4986
Updated
Certification Date
Mar 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NORTHERN PSYCHIATRIC ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSMN55A48AN
medicaidMN503580500
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
2084P0800X
- Psychiatry & Neurology / Psychiatry (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.