Gustaf Pollock

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7525 Mitchell Rd
Ste 100
Eden Prairie, MN 55344-1959

Phone

(952) 224-2282

NPI assigned

Apr 7, 2015

Last updated

Apr 7, 2015By the provider in NPPES

Sex

Male

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Brightside Medical, P.a.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1609335660

  MN

  Medicare reassignment NPD
• Family Innovations, Inc.

  dba LifeStance Health

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1689060634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-224-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-224-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "GUSTAF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood Minnesota, North Dakota, South Dakota
• Platinum Ventures (Housecalls Network)
• Sheryl Jayne Pleiss, PH.D., LP
• Pmi Acquisition, LLC
• Sukay Polley
• Justin Pope
• Portage Psychology PA
• Dareya Pozdnyakov
• Prairie Adult Care, Inc.
• Prairie Bluffs Rehabilitation Center LLC

• Mental Health Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.