Harbor City Psychological Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP2592 Issued in MN

Legal business name

HARBOR CITY PSYCHOLOGICAL ASSOCIATES

Practice address

324 W Superior St Ste 730
Duluth, MN 55802-1720

Phone

(218) 722-4058

Fax

(218) 722-4059

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Paul GoossensNPI 1356466924

Title

President

Phone

(218) 722-4058

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul J Goossens, MA,LP

  • Psychologist
  • Duluth, MN
  • NPI 1356466924
  NPD (past) Authorized official
• Cheryl L.M Graham, MSW, LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1588789390
  NPD (past)
• Heather Lynn Rappana, MSW,LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1669599809
  NPD (past)
• Julie Katherine Wicker, MSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1548337173
  NPD (past)
• Julie M Isaksen, LICSW

  • Clinical Social Worker
  • Superior, WI
  • NPI 1821059536
  NPD (past)
• Nancy Oliver Read, PH.D.

  • Counseling Psychologist
  • Telluride, CO
  • NPI 1629013511

  Clinical

  NPD (past)
• Sarah Wells, MSW, LCSW

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1508173055
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1184650400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 730",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021720",
            "telephone_number": "218-722-4058",
            "fax_number": "218-722-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 730",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021720",
            "telephone_number": "218-722-4058",
            "fax_number": "218-722-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR CITY PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "GOOSSENS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-722-4058"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2592",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4732",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "7560",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "6443",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038158600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2",
            "identifier": "BCBS385R5HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Edward Hanson, MED, ATC
• Theresa Lynn Hanson
• Tiffany Robin Happel, PA-C
• Muhammad S Haq, M.D.
• Harbor City International School
• Cole Harding
• Summer Hardy
• Jasmine Latrice Hargrove
• Lisa Harig, LICSW
• Krista Kaye Harju, LICSW

• Clinical Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.