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AMANDA MARIE DOUGHERTY
NPI 1033958848
Clinic/Center - Adolescent and Children Mental Health in Bloomington, MN

Active since May 21, 2024
9358 ENSIGN AVE S, BLOOMINGTON, MN 55438(952) 666-2289 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Marie Dougherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MARIE DOUGHERTY (NPI 1033958848) is an individual adolescent and children mental health provider in Bloomington, Minnesota and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1033958848
Entity TypeIndividualFemale
Primary Taxonomy261QM0855X
Provider Legal NameAMANDA MARIE DOUGHERTY
Location Address9358 ENSIGN AVE SBloomington, MN 55438-1472
Mailing Address9358 Ensign Ave SBloomington, MN 55438-1472
Phone(952) 666-2289
Sole ProprietorYes
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1033958848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
9358 ENSIGN AVE S, Bloomington, MN 55438
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Other Names 1

Former Name (1)Amanda Marie Rhode

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ADEN HASSAN HIRSI
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 456-6101
NIMO AYANLE ADEYS
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729
GULED HASSAN
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729
SHAKIRA S ABASE
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729
SIHAM ALI
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729
AMINA ADAN KARSHE
Behavior Technician
9358 ENSIGN AVE S
MINNEAPOLIS, MN 55438
Hennepin County (952) 945-9536
SUNSHINE AUTISM CARE
Clinic/Center (Adolescent and Children Mental Health)
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (206) 816-0521
HAMUN ALI HASSAN
Behavior Analyst
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Dougherty's NPI number?

The NPI number for Amanda Dougherty is 1033958848. It was assigned to this individual provider in the NPPES registry on May 21, 2024. The provider is also known as Amanda Marie Rhode.

Where is Amanda Dougherty located?

Amanda Dougherty practices at 9358 Ensign Ave S, Bloomington, MN 55438. The listed phone number is (952) 666-2289.

What is Amanda Dougherty's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Amanda Dougherty was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.