Northern Perspectives Psychological Services
Organization Active NPI Community/Behavioral Health Agency · Nashwauk, MN
NPI 1104289255 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1104289255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NORTHERN PERSPECTIVES PSYCHOLOGICAL SERVICES
- Practice address
- 430 E Pearson Ave
Nashwauk, MN 55769-1146 - Phone
- (218) 301-1010
- Fax
- (218) 214-9889
- NPI assigned
- Apr 5, 2016
- Organization subpart
- No
Authorized official
- Name
- Joann Frances Vitelli, LP
- Title
- Owner
- Phone
- (218) 301-1010
Practitioners 6
-
Melodee Gilbertson, PSY D.
-
Victoria M. Othon, PSY.D, LP
-
Lisa Marie Silvestri-Adamich, LICSW
-
Marissa Gene Stitt, MS, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160408000004 | MN | Part B Supplier - Clinic/Group Practice | 3274831235 |
Receives reassigned benefits from 6 practitioners Practice locations: Nashwauk, MN; Grand Rapids, MN |
National Provider Directory
Locations
430 E Pearson Ave
Nashwauk, MN 55769
Phone (218) 301-1010
202 Central Ave
Nashwauk, MN 55769
Phone (218) 301-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
430 E Pearson Ave
Nashwauk, MN 55769-1146
Mailing address
430 E Pearson Ave
Nashwauk, MN 55769-1146
Phone (218) 301-1010
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All providers in Nashwauk, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.