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DAVID BURDETTE MELLBERG PH.D., L.P.
NPI 1659446276
Psychologist - Clinical in Plymouth, MN

Active since November 21, 2006
12805 HIGHWAY 55, SUITE 211, PLYMOUTH, MN 55441(763) 550-9005(763) 559-2118 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Burdette Mellberg Ph.d., L.p. NPPES

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

DAVID BURDETTE MELLBERG PH.D., L.P. (NPI 1659446276) is an individual clinical provider in Plymouth, Minnesota, licensed in Minnesota (LP1979) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1659446276
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDAVID BURDETTE MELLBERGCredential: PH.D., L.P.
Location Address12805 HIGHWAY 55, SUITE 211Plymouth, MN 55441-3859
Mailing Address12805 Highway 55, Suite 211Plymouth, MN 55441-3859 · (763) 550-9005 · Fax (763) 559-2118
Phone(763) 550-9005
Fax(763) 559-2118
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659446276 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 · LP1979
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.
12805 HIGHWAY 55, Plymouth, MN 55441
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIS J PRINSEN L.A.D.C.
Counselor (Mental Health)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
NAVIGATING CHANGES LLC
Marriage & Family Therapist
12805 HIGHWAY 55, SUITE 402
PLYMOUTH, MN 55441
Hennepin County (612) 643-0046
CHRISTINE S CHANG MD
Family Medicine
12805 HIGHWAY 55, SUITE 111
PLYMOUTH, MN 55441
Hennepin County (763) 577-2060
AUTISM FAMILY THERAPY INC
Marriage & Family Therapist
12805 HIGHWAY 55, SUITE 402
PLYMOUTH, MN 55441
Hennepin County (612) 597-0459
PAMELA RAE GALBRAITH M.S., L.P.C.
Counselor (Professional)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
KRISTIN CARPENTER LMT
Massage Therapist
12805 HIGHWAY 55, SUITE 210
PLYMOUTH, MN 55441
Hennepin County (763) 550-0892
ROGER LEE REDDAN M.A., L.P.
Psychologist (Counseling)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
JEFF SHIVELY, MSW, LICSW
Social Worker (Clinical)
12805 HIGHWAY 55, SUITE 200
PLYMOUTH, MN 55441
Hennepin County (612) 723-0408

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 David Mellberg's NPI number?

The NPI number for David Mellberg is 1659446276. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is David Mellberg located?

David Mellberg practices at 12805 Highway 55 Suite 211, Plymouth, MN 55441. The listed phone number is (763) 550-9005.

What is David Mellberg'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 David Mellberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.