Northstar Psychological, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP4888 Issued in MN

Legal business name

NORTHSTAR PSYCHOLOGICAL, PLLC

Practice address

8009 34TH Ave S
Riverview Office Tower, Suite 1490
Bloomington, MN 55425-1608

Phone

(612) 275-7564

Fax

(952) 854-5062

NPI assigned

Jan 23, 2009

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Gelmer Van Noord, PH.D., L.P.

Title

Psychologist

Phone

(612) 275-7564

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin M Harrington, PHD LP

  • Psychologist
  • Roseville, MN
  • NPI 1164532537
  NPD (past)
• Jean Manlove, LICSW

  • Clinical Social Worker
  • Bloomington, MN
  • NPI 1235354531
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1033357355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20669 FENSTON AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550259810",
            "telephone_number": "612-275-7564",
            "fax_number": "651-982-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 34TH AVE S",
            "address_2": "RIVERVIEW OFFICE TOWER, SUITE 1490",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251608",
            "telephone_number": "612-275-7564",
            "fax_number": "952-854-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PSYCHOLOGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "VAN NOORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GELMER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-275-7564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP4888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Star Transit Corp (Discover Ride Inc.)
• Northern Lights Athlete Village
• Northland Dental Partners, PLLC (Metro Dentalcare Bloomington)
• Ashley Northrup, CLINICAL TRAINEE
• Northstar Imaging LLC
• Northway Academy, Inc. (Northway Academy, Inc. Bloomington)
• Northwestern Health Sciences University
• Moriah Rose Novacinski
• Jeffrey Novak, D.C.
• Laura Kristy Novatney, LSW

• Community/Behavioral Health Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.