MINNESOTA PSYCHOLOGICAL RESOURCES – Clinical Social Worker, NPI 1497820039

MINNESOTA PSYCHOLOGICAL RESOURCES is a healthcare provider. based in Plymouth, Minnesota. specializing in Clinical Social Worker. The organization holds a License No. 801884-1-MHC (MN). The NPI Number for MINNESOTA PSYCHOLOGICAL RESOURCES is 1497820039

Main info

Organization
Name
MINNESOTA PSYCHOLOGICAL RESOURCES
NPI
1497820039
Phone
(763) 550-9005
Address
12805 HIGHWAY 55
Authorized Official
DAVID MELLBERG DIRECTOR PH.D., L.P.
Enumeration Date
21 November 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MINNESOTA PSYCHOLOGICAL RESOURCES

  • Hwy 55, West Medicine Lake Drive, Plymouth, Hennepin County, Minnesota, 55441, United States

    SUITE 211

    PLYMOUTH, MN 554413859

    Phone: (763) 550-9005

    Fax: (763) 559-2118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55441)

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Reviews

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Frequently asked questions

How is MINNESOTA PSYCHOLOGICAL RESOURCES identified in CMS data?
CMS-hosted NPPES data lists MINNESOTA PSYCHOLOGICAL RESOURCES with NPI 1497820039.
Can I rely on MINNESOTA PSYCHOLOGICAL RESOURCES being an active provider?
As of the registry snapshot, MINNESOTA PSYCHOLOGICAL RESOURCES is marked active.
What is MINNESOTA PSYCHOLOGICAL RESOURCES's primary classification?
Clinical Social Worker is the headline specialty for MINNESOTA PSYCHOLOGICAL RESOURCES here. Clinical services aligned with this taxonomy classification.
What area does MINNESOTA PSYCHOLOGICAL RESOURCES serve?
MINNESOTA PSYCHOLOGICAL RESOURCES's listing highlights Plymouth, Minnesota; more addresses can appear in NPPES.
Why does MINNESOTA PSYCHOLOGICAL RESOURCES have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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