Simonson Psychological Services
Psychologist in Blaine, MN. Organization (NPI-2).
NPI number1407907397
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1407907397
- Entity type
- Organization (NPI-2)
- Legal business name
- Simonson Psychological Services
- Organization subpart
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Aug 22, 2020
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 3450 | MN | Yes |
Practice location
10267 University Ave#203
Blaine, MN 55434
Phone 763-639-7462 · Fax 763-786-5462
Mailing address
10267 University Ave NeSuite 203
Blaine, MN 55434
Phone 763-639-7462 · Fax 763-786-5462
Authorized official
Daniel Paul Simonson
President Psychologist
7636397462
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Other Psychologist providers in Blaine, MN
- Kathleen G Bergman, MA LPNPI 1912068834
- Caroline Nicole Weiss, PSY.D, LPNPI 1235157397
- Melissa Wetterlund, MA, LP, LMFTNPI 1659413599
- Amy Moran Wheelecor, PSYD, LPNPI 1164071148
All 5 Psychologist providers in Blaine · All 1,032 providers in Blaine
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