Taxonomy Code 103TC0700X(103tc0700x)
Clinical Psychologist. Providers: 23

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Clinical Psychologist Providers

NPI Name Type Address

1265419485

DR. PHD Stephen A Bonfilio

Individual

11455 Viking Dr

Ste 300

Eden Prairie, MN

1568449577

Brent Thomson

Individual

8455 Flying Cloud Dr

Ste 200

Eden Prairie, MN

1649317413

DR. PH.D. Douglas G. Frey

Individual

15798 Venture Ln

Eden Prairie, MN

1043456932

DR. PSY.D. Nicole Marie Fleming

Individual

9637 Anderson Lakes Pkwy # 162

Eden Prairie, MN

1790089878

DR. PHD, MS, LP Nancy Claire Bologna

Individual

7525 Mitchell Rd

Suite 200

Eden Prairie, MN

1598052672

DR. PHD Yohance Rushied Pickett

Individual

9637 Anderson Lakes Pkwy

Suite 162

Eden Prairie, MN

1881922805

DR. PSYD Heather Mae Forsyth

Individual

8455 Flying Cloud Dr

Suite 205

Eden Prairie, MN

1518256494

MS. PSY.D, L.P. Martha Herfurth Marvin

Individual

11010 Prairie Lakes Dr

Suite 350

Eden Prairie, MN

1720349830

PSY. D, L.P. Karin S Ryan

Individual

11010 Prairie Lakes Dr

350

Eden Prairie, MN

1982700902

MA LP Mark O Justic

Individual

11010 Prairie Lakes Dr

Suite 350

Eden Prairie, MN

1396714234

Kate Kavanaugh, Ma Lp, Pa

Organization

9531 W. 78th Street

Suite 110

Eden Prairie, MN

1205136231

DR. PSY. D. Jason Lee Mahlen

Individual

18315 Cascade Dr

Ste: 165

Eden Prairie, MN

1518318286

DR. PH.D. Lauren Elizabeth Taubitz

Individual

6442 City West Pkwy # 200

Eden Prairie, MN

1598015786

PHD Kathleen Alice Tresness

Individual

11010 Prairie Lakes Drive

Suite 350

Eden Prairie, MN

1942750575

L.P. Judith Lynn Graceman

Individual

6458 City West Pkwy

Eden Prairie, MN

1427500248

DR. PSY.D., LP Alise Marie Novak

Individual

6458 City West Pkwy

Eden Prairie, MN

1619077898

MA LP Ann Bodensteiner

Individual

11010 Prairie Lakes Drive

Suite 350

Eden Prairie, MN

1093228082

DR. PSYD Megan Kolman

Individual

11000 Optum Cir

Eden Prairie, MN

1205203965

DR. PSY.D., L.P. Kasey Aleknavicius

Individual

11010 Prairie Lakes Dr Ste 350

Eden Prairie, MN

1154812238

MA Kathleen Marie Kavanaugh

Individual

9531 W 78th St Ste 110

Eden Prairie, MN

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Taxonomy Code 103TC0700X
Specialization Clinical
Display Name Clinical Psychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Psychologist
Definition A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Effective Date September 30, 2009
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Psychologist Codes

Addiction (Substance Use Disorder) Psychologist

103TA0400X • providers: 623

Adult Development & Aging Psychologist

103TA0700X • providers: 215

Clinical Child & Adolescent Psychologist

103TC2200X • providers: 4,646

Cognitive & Behavioral Psychologist

103TB0200X • providers: 2,097

Counseling Psychologist

103TC1900X • providers: 7,770

Deactivated - Psychologist

103TE1000X • providers: 0

Deactivated - Psychologist Men & Masculinity

103TM1700X • providers: 0

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Deactivated - Psychotherapy Women

103TW0100X • providers: 0

Exercise & Sports Psychologist

103TE1100X • providers: 92

Family Psychologist

103TF0000X • providers: 337

Forensic Psychologist

103TF0200X • providers: 765

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Health Psychologist

103TH0004X • providers: 432

Health Service Psychologist

103TH0100X • providers: 828

Intellectual & Developmental Disabilities Psychologist

103TM1800X • providers: 886

Prescribing (Medical) Psychologist

103TP0016X • providers: 528

Psychoanalysis Psychologist

103TP0814X • providers: 325

Psychologist

103T00000X • providers: 49,470

Rehabilitation Psychologist

103TR0400X • providers: 714

School Psychologist

103TS0200X • providers: 8,926