PORTAGE PSYCHOLOGY PA
NPI 1245975010
Psychologist in Eden Prairie, MN

Active since May 04, 2022
10125 CROSSTOWN CIR STE 110, EDEN PRAIRIE, MN 55344(612) 688-5933(612) 500-4607 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Portage Psychology Pa NPPES

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

PORTAGE PSYCHOLOGY PA (NPI 1245975010) is a healthcare organization registered as a psychologist in Eden Prairie, Minnesota and active in the NPI registry since May 2022. The organization lists Anna Krull, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1245975010
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePORTAGE PSYCHOLOGY PA
Location Address10125 CROSSTOWN CIR STE 110Eden Prairie, MN 55344-3316
Mailing Address10125 Crosstown Cir Ste 110Eden Prairie, MN 55344-3316 · (612) 688-5933 · Fax (612) 500-4607
Fax(612) 500-4607
Organization SubpartNo
Authorized OfficialAnna KrullVice-president · (612) 986-3333
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
NPI 1245975010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
10125 CROSSTOWN CIR STE 110, Eden Prairie, MN 55344

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

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 Portage Psychology PA's NPI number?

The NPI number for Portage Psychology PA is 1245975010. It was assigned to this organization in the NPPES registry on May 4, 2022.

Where is Portage Psychology PA located?

Portage Psychology PA is located at 10125 Crosstown Cir Ste 110, Eden Prairie, MN 55344. The listed phone number is (612) 688-5933.

What is Portage Psychology PA's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Portage Psychology PA was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.