PHS INDIAN HOSPITAL-BEHAVIOR HEALTH CLINIC
NPI 1679099568
Psychologist in Redlake, MN

Active since August 22, 2017
PO BOX 497, REDLAKE, MN 56671(218) 679-3912(218) 679-0181 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phs Indian Hospital-behavior Health Clinic NPPES

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

PHS INDIAN HOSPITAL-BEHAVIOR HEALTH CLINIC (NPI 1679099568) is a healthcare organization registered as a psychologist in Redlake, Minnesota and active in the NPI registry since August 2017. The organization lists Janice Marie Thunder, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679099568
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePHS INDIAN HOSPITAL
Location AddressPO BOX 497Redlake, MN 56671-0497
Mailing Address24760 Hospital Drive, Box 497 C/o Business OfficeRed Lake, MN 56670 · (218) 679-3912 · Fax (218) 679-0181
Fax(218) 679-0181
Organization SubpartNo
Authorized OfficialJanice Marie ThunderBusiness Office Manager · (218) 679-3912
Enumeration DateAugust 22, 2017
Last NPPES UpdateJuly 21, 2022
NPI 1679099568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
PO BOX 497, Redlake, MN 56671

Other Names 1

Doing Business AsPhs Indian Hospital-behavior Health Clinic

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
PO BOX 497
REDLAKE, MN 56671

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 Phs Indian Hospital's NPI number?

The NPI number for Phs Indian Hospital is 1679099568. It was assigned to this organization in the NPPES registry on August 22, 2017. The provider is doing business as Phs Indian Hospital-Behavior Health Clinic.

Where is Phs Indian Hospital located?

Phs Indian Hospital is located at PO Box 497, Redlake, MN 56671. The listed phone number is (218) 679-3912.

What is Phs Indian Hospital'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 Phs Indian Hospital was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.