MCGOVERN PSYCHOTHERAPY, LLC
NPI 1053979435
Clinic/Center - Mental Health (Including Community Mental Health Center) in St Louis Park, MN

Active since May 31, 2019
3340 REPUBLIC AVE STE 120, ST LOUIS PARK, MN 55426(612) 564-8897 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mcgovern Psychotherapy, Llc NPPES

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

MCGOVERN PSYCHOTHERAPY, LLC (NPI 1053979435) is a healthcare organization registered as a mental health (including community mental health center) in St Louis Park, Minnesota and active in the NPI registry since May 2019. The organization lists Amanda Rachel Mcgovern, Owner, as its authorized official.

NPPES Registry Identity

NPI1053979435
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMCGOVERN PSYCHOTHERAPY, LLC
Location Address3340 REPUBLIC AVE STE 120St Louis Park, MN 55426-4189
Mailing Address3340 Republic Ave Ste 120St Louis Park, MN 55426-4189
Organization SubpartNo
Authorized OfficialAmanda Rachel McgovernOwner · (551) 486-5221
Enumeration DateMay 31, 2019
NPI 1053979435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3340 REPUBLIC AVE STE 120, St Louis Park, MN 55426

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
3340 REPUBLIC AVE STE 120
ST LOUIS PARK, MN 55426
Social Worker (Clinical)
3340 REPUBLIC AVE STE 120
ST LOUIS PARK, MN 55426
Psychologist (Clinical)
3340 REPUBLIC AVE STE 120
ST LOUIS PARK, MN 55426
Psychologist
3340 REPUBLIC AVE STE 120
ST LOUIS PARK, MN 55426

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 Mcgovern Psychotherapy, LLC's NPI number?

The NPI number for Mcgovern Psychotherapy, LLC is 1053979435. It was assigned to this organization in the NPPES registry on May 31, 2019.

Where is Mcgovern Psychotherapy, LLC located?

Mcgovern Psychotherapy, LLC is located at 3340 Republic Ave Ste 120, St Louis Park, MN 55426. The listed phone number is (612) 564-8897.

What is Mcgovern Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mcgovern Psychotherapy, LLC was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.