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Contact Information

EVEREST PSYCHOLOGICAL SERVICES
11701 CENTRAL PARK WAY APT 1221
MAPLE GROVE, MN55369-3117
 Phone: 605-999-9649
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Psychoanalysis

103TP0814X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EVEREST PSYCHOLOGICAL SERVICES

NPI Number 1922627520
LBN Legal business name EVEREST PSYCHOLOGICAL SERVICES
Authorized official JOSHUA MEENDERING - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2020
Last updated 07/26/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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