PSYCHOLOGICAL HEALTHCARE OF MINNESOTA PA
NPI 1821241340
Psychologist in Eden Prairie, MN

NPI Status: Active since October 28, 2008

Contact Information

15798 VENTURE LN
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 920-2789
Fax: (952) 746-3890

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  • Organization
  • Psychologist

About PSYCHOLOGICAL HEALTHCARE OF MINNESOTA PA

This page provides the complete NPI Profile along with additional information for Psychological Healthcare Of Minnesota Pa, a provider established in Eden Prairie, Minnesota operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1821241340 assigned on October 2008. The practitioner's primary taxonomy code is 103T00000X with license number LP 2224 (MN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Douglas Guthrie Frey Ph.d. (President)

NPI
1821241340
Provider Name
PSYCHOLOGICAL HEALTHCARE OF MINNESOTA PA
Entity Type
Organization
Location Address
15798 VENTURE LN EDEN PRAIRIE, MN 55344
Location Phone
(952) 920-2789
Location Fax
(952) 746-3890
Mailing Address
15798 VENTURE LN EDEN PRAIRIE, MN 55344
Mailing Phone
(952) 920-2789
Mailing Fax
(952) 746-3890
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2008
Last Update Date
03-09-2009
Code Navigator

A psychologist like Psychological Healthcare Of Minnesota Pa studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating 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

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
LP 2224
License State
MN
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

DR. DOUGLAS GUTHRIE FREY PH.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 920-2789

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
651353100MEDICAID (05)MN 
41B22PSOTHER (01)BLUE CROSS BLUE SHIELD

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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.
1821241340
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284144238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 4 + 4 + 2 + 3 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1821241340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649317413DR. DOUGLAS G. FREY PH.D.
Individual
Psychologist (Clinical)15798 VENTURE LN
EDEN PRAIRIE, MN 55344
(952) 920-2789
1427192095MS. ELIZABETH J GRIFFIN LMFT
Individual
Marriage & Family Therapist15798 VENTURE LN
EDEN PRAIRIE, MN 55344
(952) 210-5778
1417170374 BRADLEY D JOHNSON LMFT
Individual
Marriage & Family Therapist15798 VENTURE LN SUITE 201
EDEN PRAIRIE, MN 55344
(952) 746-3883

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821241340, enumerated in the NPI registry as an "organization" on October 28, 2008

The provider is located at 15798 Venture Ln Eden Prairie, Mn 55344 and the phone number is (952) 920-2789

This medical organization specializes in Psychologist with taxonomy code 103T00000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 October 28, 2008. 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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