LIFETRACK RESOURCES, INC. - NPI 1225045362 - Psychologist in Saint Paul, MN

Q: What is Lifetrack Resources, Inc.'s NPI number?

The NPI number for Lifetrack Resources, Inc. is 1225045362. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider was formerly known as St. Paul Rehabilitation Center.

Q: What is Lifetrack Resources, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

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About Lifetrack Resources, Inc. NPPES

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

LIFETRACK RESOURCES, INC. (NPI 1225045362), doing business as St. Paul Rehabilitation Center, is a healthcare organization registered as a clinical child & adolescent in Saint Paul, Minnesota and active in the NPI registry since August 2006. The organization lists Trixie Ann Golberg, President, as its authorized official.

NPPES Registry Identity

NPI1225045362

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameLIFETRACK RESOURCES, INC.

Location Address709 UNIVERSITY AVE WSaint Paul, MN 55104-4804

Mailing Address709 University Ave WSaint Paul, MN 55104-4804 · (651) 227-8471 · Fax (651) 265-2318

Phone(651) 227-8471

Fax(651) 265-2318

Organization SubpartNo

Authorized OfficialTrixie Ann GolbergPresident · (651) 227-8471

Enumeration DateAugust 2, 2006

Last NPPES UpdateMay 30, 2013

✔ NPI 1225045362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedPhysical Therapy AssistantTaxonomy 225200000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

709 UNIVERSITY AVE W, Saint Paul, MN 55104

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Other Names 1

Former Legal Business NameSt. Paul Rehabilitation Center

Other Identifiers 16

Medicaid995555100MN

Other108931MN · Ucare - Mental Health

Other505120046MN · Mhp

Other27779PAMN · Bcbs - Pt

Medicare ID-Type Unspecified246504MN · Pt/ot/sp

Other13112SPMN · Bcbs - Ot

Other5900058MN · Medica Dual Solution

Other431M9LIMN · Bcbs - Mental Health

Other102486MN · Ucare - Pt/ot/sp

Other28605PAMN · Bcbs - Sp

Other119905MN · Choice Plus

Other6400054MN · Medica Cross Over Medicar

Medicaid553476300MN

Medicaid995555101MN

Other1019353MN · Preferred One

Other=========329MN · Healthpartners

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SHANNON STEWART

Speech-Language Pathologist