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PHS INDIAN HOSPITAL NPI 1679099568


NPI Information

NPI: 1679099568
Provider Name: PHS INDIAN HOSPITAL

Doing Business As: PHS INDIAN HOSPITAL-BEHAVIOR HEALTH CLINIC

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
PO BOX 497
REDLAKE, MN
ZIP 56671
Phone: (218) 679-3912
Get Directions

PHS INDIAN HOSPITAL is a psychologist in Redlake, MN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. PHS INDIAN HOSPITAL NPI is 1679099568. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Phs Indian Hospital-behavior Health Clinic.

The provider's business location address is:

PO BOX 497
REDLAKE, MN
ZIP 56671-497
Phone: (218) 679-3912
Fax: (218) 679-0181

The provider's authorized official is Janice Marie Thunder .
The authorized official title is Business Office Manager and has the following contact phone number (218) 679-3912.

The enumeration date for this NPI number is 8/22/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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