NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC.
NPI 1164711735
Psychologist - Counseling in New Brighton, MN

NPI Status: Active since April 04, 2011

Contact Information

516 MISSION HOUSE LN
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 636-5120
Fax: (651) 636-5124

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  • Organization
  • Psychologist
  • Counseling
  • Accepts Insurance

About NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC.

This page provides the complete NPI Profile along with additional information for North Central Ministry Development Center, Inc., a provider established in New Brighton, Minnesota operating as a Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1164711735 assigned on April 2011. The practitioner's primary taxonomy code is 103TC1900X with license number LP4114 (MN). The provider is registered as an organization and their NPI record was last updated May 2025. North Central Ministry Development Center, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mark Elmer Sundby Ph.d. (Executive Director)

NPI
1164711735
Provider Legal Name
NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
516 MISSION HOUSE LN NEW BRIGHTON, MN 55112
Location Phone
(651) 636-5120
Location Fax
(651) 636-5124
Mailing Address
516 MISSION HOUSE LN NEW BRIGHTON, MN 55112
Mailing Phone
(651) 636-5120
Mailing Fax
(651) 636-5124
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2011
Last Update Date
05-14-2025
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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 Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
LP4114
License State
MN
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

LP4223 (MN)
2103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

LP0816 (MN)
3103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

LP5213 (MN)
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

MN06627 (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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARK ELMER SUNDBY PH.D.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(651) 636-5120

Reviews for NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC.

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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.
1164711735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124141276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 1 + 2 + 7 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1164711735 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710278502DR. MARK ELMER SUNDBY PH.D.
Individual
Psychologist (Counseling)516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1033401542 MARY LOU HONSTEAD PH.D., L.P.
Individual
Psychologist (Counseling)516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1447521356MR. SHANE RAYMOND LONG L.M.F.T.
Individual
Marriage & Family Therapist516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1801161641 CAROLINE A BURKE PH.D., LP
Individual
Specialist516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5124
1356826325 KELLY JORDAN PHD
Individual
Psychologist (Health Service)516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1245861798MRS. SARAH ELIZABETH PARKER LMFT
Individual
Marriage & Family Therapist516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120
1639946296 SUSAN M. R. NIENABER LMFT
Individual
Marriage & Family Therapist516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
(651) 636-5120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164711735, enumerated in the NPI registry as an "organization" on April 04, 2011

The provider is located at 516 Mission House Ln New Brighton, Mn 55112 and the phone number is (651) 636-5120

This medical organization specializes in Psychologist with taxonomy code 103TC1900X with a focus in Counseling

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 04, 2011. 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].
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