Brakins Consulting & Psychological Services Llc in Plymouth - Psychologist
Brakins Consulting & Psychological Services Llc - NPI 1194938167
Brakins Consulting & Psychological Services Llc is a Psychologist in Plymouth, Minnesota. Brakins Consulting & Psychological Services Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brakins Consulting & Psychological Services Llc is 1194938167. The last update date is 2015-09-24.
Brakins Consulting & Psychological Services Llc's current location address is 13805 60th Ave N, Plymouth, Minnesota. You can contact this provider via phone number 6128391449 and fax number 7635509398. The mailing address for Brakins Consulting & Psychological Services Llc is 13805 60th Ave N, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brakins Consulting & Psychological Services Llc |
|---|---|
| Address | 13805 60th Ave N, Plymouth, Minnesota |
| Phone Number | 6128391449 |
| Fax Number | 7635509398 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Garrett-Akinsanya Mae Bravada |
| Credentials | PH.D. |
| Telephone Number | 6123023140 |
NPI Number Detail
| NPI Number | 1194938167 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2015-09-24 |
Provider Mailing Address Detail
| Address | 13805 60th Ave N |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554463583 |
| Phone Number | 6128391449 |
| Fax Number | 7635509398 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4105 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 990991046885 | MN | PREFERRED ONE | |
| HP29938 | MN | HEALTHPARTNERS | |
| 239323900 | MN | -- | |
| 1033294962 | MN | PERSON NPI # | |
| 42653GA | MN | GROUP- BCBS | |
| 113550 | MN | UCARE (BHP) | |
| 6168492 | MN | UNITED BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Brakins Consulting & Psychological Services Llc by the Centers for Medicare & Medicaid Services?
The Brakins Consulting & Psychological Services Llc has been assigned the NPI (National Provider Identifier) 1194938167. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brakins Consulting & Psychological Services Llc?
The Brakins Consulting & Psychological Services Llc is physically situated at 13805 60Th Ave N, in the city of Plymouth, state of MN, with the postal code 554463583.
What is Brakins Consulting & Psychological Services Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brakins Consulting & Psychological Services Llc is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194938167 to Brakins Consulting & Psychological Services Llc?
The Centers for Medicare & Medicaid Services originally issued the 1194938167 to Brakins Consulting & Psychological Services Llc on 2007-05-07.
When was the information related to Brakins Consulting & Psychological Services Llc most recently updated or refreshed?
The details pertaining to the Brakins Consulting & Psychological Services Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-09-24.
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