Child Psychiatric Services

Organization Active NPI Community/Behavioral Health Agency · Cold Spring, MN

NPI 1275914582 · NPPES record last updated Jun 11, 2015

Key facts

NPI
1275914582
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
2009002720 (MN)
Legal business name
CHILD PSYCHIATRIC SERVICES
Practice address
22194 Great Northern Dr
Cold Spring, MN 56320-8811
Phone
(320) 597-4109
NPI assigned
Jun 11, 2015
Organization subpart
No

Authorized official

Name
Mary Ann Schorn-Rhoda, APRN, CPNP,CNS
Title
Aprn-Psychiatry
Phone
(320) 597-4109

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R126869-2 MN
Community/Behavioral Health Agency 251S00000X 2009002720 MN Yes

Addresses

Primary practice location

22194 Great Northern Dr
Cold Spring, MN 56320-8811

Mailing address

22194 Great Northern Dr
Cold Spring, MN 56320-8811
Phone (320) 597-4109

Other identifiers

IdentifierTypeStateIssuer
817825900OtherMNMEDICARE ID TPYE UNSPECIFIED

Other providers in Cold Spring, MN

All providers in Cold Spring, MN · Community/Behavioral Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.