Account Bulk check

McGovern Psychotherapy, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in St Louis Park, MN. Organization (NPI-2).

NPI number1053979435
StatusActive
Last updated in NPPESMay 31, 2019

Details

NPI
1053979435
Entity type
Organization (NPI-2)
Legal business name
McGovern Psychotherapy, LLC
Organization subpart
No
Enumeration date
May 31, 2019
Last updated
May 31, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

3340 Republic Ave Ste 120
St Louis Park, MN 55426-4189

Phone 612-564-8897

Mailing address

3340 Republic Ave Ste 120
St Louis Park, MN 55426-4189

Authorized official

Amanda Rachel McGovern
Owner
5514865221

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in St Louis Park, MN

All 9 Mental Health Clinic/Center (Including Community Mental Health Center) providers in St Louis Park · All 3,529 providers in St Louis Park

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check