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NPI · 1114175791 · NPPES-sourced

Parkside Psychology, Inc.

ActiveClinical Psychologist
NPI Number
1114175791
Type 2 · Organisation
Taxonomy Code
103TC0700X
Contact
(612) 871-4336
License MN · LP1891
Last Updated
Enumerated
Primary practice addressMN · 55405-2700
2124 Dupont Ave S, 104Minneapolis, MN 55405-2700
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About this NPIWhat this record shows.

NPI 1114175791 is registered to Parkside Psychology, Inc., a healthcare organisation classified as "Clinical Psychologist" and located at 2124 Dupont Ave S, 104 in Minneapolis, Minnesota. The organisation's authorised official is Sally Moore. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 67Q05MOMN· Issued by BCBSMN

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Parkside Psychology, Inc. accepts. To confirm in-network status with your specific health plan, contact Parkside Psychology, Inc. directly at (612) 871-4336.

Frequently asked

Yes. NPI 1114175791 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (612) 871-4336.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Parkside Psychology, Inc. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy103TC0700X
Last updated
Enumerated
StatusActive
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partner offer
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