Taxonomy Code 103TC0700X(103tc0700x)
Clinical Psychologist. Providers: 12

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Clinical Psychologist Providers

NPI Name Type Address

1659446276

PH.D., L.P. David Burdette Mellberg

Individual

12805 Highway 55

Suite 211

Plymouth, MN

1609924216

PSYD LP Tim Richard Portinga

Individual

11505 36th Ave N

Plymouth, MN

1699823237

PSY.D., LP Kristen Alexa Burnett

Individual

11505 36th Ave N

Plymouth, MN

1215034863

DR. PHD, LP Asha K. Mukherjee

Individual

4205 Lancaster Ln N

Suite 107

Plymouth, MN

1417968207

PH.D. Sandra Kuperman Sondell

Individual

3021 Harbor Ln N

Suite 210

Plymouth, MN

1801167440

Troy Duncan Psychological Services Pllc

Organization

1025 Evergreen Ln N

Plymouth, MN

1285967638

PSY.D. Rachael Hoffman

Individual

3300 Fernbrook Ln N

#120

Plymouth, MN

1255766796

PSY.D. Megan Ocken Helmen

Individual

3300 Fernbrook Ln N

#120

Plymouth, MN

1750741641

DR. PSYD, LP Paige Renee Nelson-ansley

Individual

2600 Fernbrook Ln N Ste 138

Plymouth, MN

1659539591

Pediatric Consultation Specialists, Pllc

Organization

3300 Fernbrook Lane N

#120

Plymouth, MN

1528145281

Life Skills Institute & Clinic, Inc.

Organization

3937 Orchid Ln N

Plymouth, MN

1386974194

DR. PSYD, LP Jessica L. Pishney

Individual

3033 Campus Dr Ste W225

Plymouth, 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