Parkside Psychology, Inc.
Clinical - Psychology Clinic
2124 Dupont Ave S, 104, Minneapolis
Minnesota, 55405-2700
612-871-4336 612-929-2331
Maps & DirectionsParkside Psychology, Inc. is a Clinical - Psychology Clinic in Minneapolis, Minnesota. It is located at 2124 Dupont Ave S, 104, Minneapolis, MN and its contact number is 612-871-4336. The authorized person for Parkside Psychology, Inc. is Dr. Sally Ruth Moore
who is Psychologist/owner of the clinic and his/her contact number is 612-871-4336. Other organizations associated with this clinic are Parkside Psychology, Inc., Kenfield And Associates, P.c., The primary license number for Parkside Psychology, Inc. is LP1891 (Clinical) in Minnesota.
Parkside Psychology, Inc. Clinic has mental health professionals specialized in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Psychologists main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that psychologists can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Clinic Profile:
Parkside Psychology, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Parkside Psychology, Inc. |
| Specialization: | Clinical Psychology |
| Clinic Address: | 2124 Dupont Ave S, 104, Minneapolis,
Minnesota, 55405-2700 |
| Phone: | 612-871-4336 |
| Fax: | 612-929-2331 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Sally Ruth Moore |
| Position: | Psychologist/owner |
| Contact Number: | 612-871-4336 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Parkside Psychology, Inc. clinic are as mentioned below.
| NPI Number: | 1114175791 |
| NPI Enumeration Date: | 08 Sep, 2008 |
| NPI Last Update On: | 08 Sep, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Parkside Psychology, Inc. | Clinical Psychology | 1114175791 |
| Kenfield And Associates, P.c. | General Psychology | 1598976698 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Parkside Psychology, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinical | LP1891 | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 621853900 | Medicaid | Minnesota | |
| 67Q05MO | Other | Minnesota | Bcbsmn |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Parkside Psychology, Inc.
2124 Dupont Ave S, 104
Minneapolis, Minnesota |
| Zip: | 55405-2700 |
| Phone Number: | 612-871-4336 |
| Fax Number: | 612-929-2331 |
Patients can reach Parkside Psychology, Inc. at
2124 Dupont Ave S, 104, Minneapolis, Minnesota or can
call to book an appointment on 612-871-4336.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.