MINNEAPOLIS SOUTHWEST MENTAL HEALTH CLINIC, LIMITED
NPI 1649485111
Psychologist in Edina, MN

Active since May 10, 2007
4010 W 65TH ST STE 101, EDINA, MN 55435(952) 831-4499 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Minneapolis Southwest Mental Health Clinic, Limited NPPES

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

MINNEAPOLIS SOUTHWEST MENTAL HEALTH CLINIC, LIMITED (NPI 1649485111) is a healthcare organization registered as a psychologist in Edina, Minnesota and active in the NPI registry since May 2007. The organization lists Dale Bremner Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1649485111
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMINNEAPOLIS SOUTHWEST MENTAL HEALTH CLINIC, LIMITED
Location Address4010 W 65TH ST STE 101Edina, MN 55435-1724
Mailing Address4010 W 65th St Ste 101Edina, MN 55435-1724 · (952) 831-4499
Organization SubpartNo
Authorized OfficialDale Bremner PetersonPresident · (952) 831-4499
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1649485111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP2893
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.
4010 W 65TH ST STE 101, Edina, MN 55435

Other Identifiers 1

Other11702MIMN · Bluecrossblueshield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Minneapolis Southwest Mental Health Clinic, Limited's NPI number?

The NPI number for Minneapolis Southwest Mental Health Clinic, Limited is 1649485111. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Minneapolis Southwest Mental Health Clinic, Limited located?

Minneapolis Southwest Mental Health Clinic, Limited is located at 4010 W 65th St Ste 101, Edina, MN 55435. The listed phone number is (952) 831-4499.

What is Minneapolis Southwest Mental Health Clinic, Limited'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 Minneapolis Southwest Mental Health Clinic, Limited was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.