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SPEARE PSYCHOLOGICAL SERVICES PA
NPI 1508086679
Psychologist - Clinical in Virginia, MN

Active since April 30, 2007
225 1ST ST N, SUITE 3100, VIRGINIA, MN 55723(218) 741-3740(218) 741-9492 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Speare Psychological Services Pa NPPES

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

SPEARE PSYCHOLOGICAL SERVICES PA (NPI 1508086679) is a healthcare organization registered as a clinical in Virginia, Minnesota and active in the NPI registry since April 2007. The organization lists Jonathan Speare, Ceo Owner, as its authorized official.

NPPES Registry Identity

NPI1508086679
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSPEARE PSYCHOLOGICAL SERVICES PA
Location Address225 1ST ST N, SUITE 3100Virginia, MN 55723
Mailing Address225 1st St N, Suite 3100Virginia, MN 55723 · (218) 741-3740 · Fax (218) 741-9492
Phone(218) 741-3740
Fax(218) 741-9492
Organization SubpartNo
Authorized OfficialJonathan SpeareCeo Owner · (218) 741-3740
Enumeration DateApril 30, 2007
Last NPPES UpdateAugust 10, 2010
✔ NPI 1508086679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP0655
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
225 1ST ST N, Virginia, MN 55723
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Other Identifiers 8

Other074048MN · Value Options
Medicaid850347800MN
Other6101470MN · United Behavioral Health
Other100318MN · Preferredone
Other110500MN · Ucare
Other000512001MN · Magellan
Other8L596SPMN · Bcbs
Medicare ID-Type Unspecified689000331MN

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 Speare Psychological Services PA's NPI number?

The NPI number for Speare Psychological Services PA is 1508086679. It was assigned to this organization in the NPPES registry on April 30, 2007.

Where is Speare Psychological Services PA located?

Speare Psychological Services PA is located at 225 1st St N Suite 3100, Virginia, MN 55723. The listed phone number is (218) 741-3740.

What is Speare Psychological Services PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Speare Psychological Services PA was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.