ASSOCIATED CLINIC OF PSYCHOLOGY INC
NPI 1588741292
Clinic/Center - Mental Health (Including Community Mental Health Center) in St Louis Park, MN
About Associated Clinic Of Psychology Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASSOCIATED CLINIC OF PSYCHOLOGY INC (NPI 1588741292) 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 November 2006. The organization maintains 7 additional practice locations and lists John E Brose, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 7
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Associated Clinic Of Psychology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
149Medicare enrollment records show 149 clinicians reassign Medicare billing to Associated Clinic Of Psychology Inc, which bills Medicare for the services they deliver. Of these, 72 practice at this address and 112 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 149Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Associated Clinic Of Psychology Inc's NPI number?
The NPI number for Associated Clinic Of Psychology Inc is 1588741292. It was assigned to this organization in the NPPES registry on November 1, 2006.
Where is Associated Clinic Of Psychology Inc located?
Associated Clinic Of Psychology Inc is located at 4027 County Road 25, St Louis Park, MN 55416. The listed phone number is (612) 925-6033.
What is Associated Clinic Of Psychology Inc'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.
Is Associated Clinic Of Psychology Inc enrolled in Medicare?
Yes. Associated Clinic Of Psychology Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Associated Clinic Of Psychology Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 149 clinicians in 7 Medicare specialties reassign their Medicare billing to Associated Clinic Of Psychology Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (70), Clinical Psychologist (23) and Mental Health Counselor (21). Of these, 72 practice at this address and 112 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Associated Clinic Of Psychology Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Medica and Sanford Health Plan and 1 other insurer list Associated Clinic Of Psychology Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Associated Clinic Of Psychology Inc was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Associated Clinic Of Psychology Inc · NPI 1588741292
Mental Health (Including Community Mental Health Center) organization in St Louis Park, Minnesota. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1588741292 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** John Brose, CEO
## Practice location
- **Address:** 4027 COUNTY ROAD 25, St Louis Park, MN 55416
- **Phone:** (612) 925-6033 · **Fax:** (612) 925-8496
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 149 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (70), Clinical Psychologist (23), Mental Health Counselor (21); 72 practice at this address and 112 within 10 miles; [full list](https://npiprofile.com/npi/1588741292/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2018
- **Other identifiers:** Medicaid 277723100 (MN); Other 3920 (MN); Other 475-94AS (MN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1588741292) · Data from the CMS NPPES public registry.