ACACIA COUNSELING & WELLNESS
NPI 1043757925
Psychologist - Clinical in Minneapolis, MN

NPI Status: Active since January 30, 2017

Contact Information

2720 UNIVERSITY AVE SE
UNIT B
MINNEAPOLIS, MN
ZIP 55414
Phone: (805) 399-2511

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  • Organization
  • Psychologist
  • Clinical

About ACACIA COUNSELING & WELLNESS

This page provides the complete NPI Profile along with additional information for Acacia Counseling & Wellness, a provider established in Minneapolis, Minnesota operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1043757925 assigned on January 2017. The practitioner's primary taxonomy code is 103TC0700X with license number GL0058 (MN). The provider is registered as an organization and their NPI record was last updated 9 years ago. Acacia Counseling & Wellness operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Acacia Counseling & Wellness. The authorized official of this NPI record is Brett Donnelly (Co-owner/ceo)

NPI
1043757925
Provider Legal Name
ACACIA PSYCHOLOGICAL CORPORATION
Other Organization Name
ACACIA COUNSELING & WELLNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2720 UNIVERSITY AVE SE UNIT B MINNEAPOLIS, MN 55414
Location Phone
(805) 399-2511
Mailing Address
948 EMBARCADERO DEL NORTE GOLETA, CA 93117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2017
Last Update Date
03-14-2017
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A clinical psychologist like Acacia Counseling & Wellness assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
GL0058
License State
MN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

CC01316 (MN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETT DONNELLY

Authorized Official Title
CO-OWNER/CEO
Authorized Official Phone
(805) 399-2511

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043757925
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20831451494
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 4 + 5 + 1 + 4 + 9 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1043757925 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043757925, enumerated in the NPI registry as an "organization" on January 30, 2017

The provider is located at 2720 University Ave Se Unit B Minneapolis, Mn 55414 and the phone number is (805) 399-2511

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on January 30, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.