Andrea K Northwood, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 4041 Issued in MN

Practice address

717 E River Pkwy
Minneapolis, MN 55455-0369

Phone

(612) 436-4800

Fax

(612) 436-2600

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 30, 2024 through Oct 30, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Victims of Torture - Bethesda

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1124420146
  NPD (past)
• Erin Morgan LMFT, L.L.C.

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1669924320
  NPD (past)
• Lakes Area Human Services, Inc.

  • Community/Behavioral Health Agency
  • Forest Lake, MN
  • NPI 1700956646
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194807537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 LAUREL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046737",
            "telephone_number": "651-645-7850",
            "fax_number": "612-436-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E RIVER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550369",
            "telephone_number": "612-436-4800",
            "fax_number": "612-436-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHWOOD",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 4041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northstar Health Initiative
• Northwest Anesthesia P.a.
• Northwest Anesthesia, P.a.
• Northwest Chiropractic P.a.
• Northwest Dental Center P.a.
• Joel Dunstan Norton, PA
• Joseph Allan Norton, DO
• Laura Elaine Norton, M.D., M.S.
• Leslie O Norton, M.D.
• Robert Norton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.