ACT PSYCHOLOGICAL SERVICES, PLLC
NPI 1407296288
Community/Behavioral Health in Saint Louis Park, MN

Active since June 26, 2013
4601 EXCELSIOR BLVD STE 507A, SAINT LOUIS PARK, MN 55416(612) 836-3886 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Act Psychological Services, Pllc NPPES

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

ACT PSYCHOLOGICAL SERVICES, PLLC (NPI 1407296288) is a healthcare organization registered as a community/behavioral health in Saint Louis Park, Minnesota and active in the NPI registry since June 2013. The organization lists Kent David Smallwood, Clinical Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1407296288
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameACT PSYCHOLOGICAL SERVICES, PLLC
Location Address4601 EXCELSIOR BLVD STE 507ASaint Louis Park, MN 55416-4977
Mailing Address1028 Pike Lake DrNew Brighton, MN 55112-2427 · (612) 836-3886
Organization SubpartNo
Authorized OfficialKent David SmallwoodClinical Licensed Psychologist · (612) 836-3886
Enumeration DateJune 26, 2013
NPI 1407296288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in MN · LP5358
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4601 EXCELSIOR BLVD STE 507A, Saint Louis Park, MN 55416

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 Act Psychological Services, PLLC's NPI number?

The NPI number for Act Psychological Services, PLLC is 1407296288. It was assigned to this organization in the NPPES registry on June 26, 2013.

Where is Act Psychological Services, PLLC located?

Act Psychological Services, PLLC is located at 4601 Excelsior Blvd Ste 507A, Saint Louis Park, MN 55416. The listed phone number is (612) 836-3886.

What is Act Psychological Services, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Act Psychological Services, PLLC was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.