Proof Alliance

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5419 Issued in MN

Legal business name

PROOF ALLIANCE

Practice address

1876 Minnehaha Ave W
Saint Paul, MN 55104-1029

Phone

(651) 917-2370

Fax

(651) 313-7888

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Mollie O'Brien

Title

Executive Director

Phone

(651) 917-2370

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Erik De Water, PHD

  • Clinical Neuropsychologist
  • Edina, MN
  • NPI 1013557057
  NPD

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1699038265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 MINNEHAHA AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041029",
            "telephone_number": "651-917-2370",
            "fax_number": "651-313-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 MINNEHAHA AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041029",
            "telephone_number": "651-917-2370",
            "fax_number": "651-313-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROOF ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-917-2370",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Gerard Prokosch, MD
• Promise Care LLC
• Promise Comprehensive Services, Inc.
• Narone Promvongsa
• Pingthong Promvongsa
• Prosperity Care Residence, LLC
• Julia Prosser, RN
• Patricia Marie Prosser, RN
• Joseph Ryne Pruis, CRNA
• Maggie Marie Prunty, CNP

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.