PRAIRIE PSYCHOLOGICAL SERVICES PA
NPI 1740506393
Community/Behavioral Health in Crookston, MN

Active since April 07, 2010
205 W FLETCHER ST, CROOKSTON, MN 56716(281) 281-2117 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prairie Psychological Services Pa NPPES

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

PRAIRIE PSYCHOLOGICAL SERVICES PA (NPI 1740506393) is a healthcare organization registered as a community/behavioral health in Crookston, Minnesota and active in the NPI registry since April 2010. The organization lists David G Jansen, Owner And Director, as its authorized official.

NPPES Registry Identity

NPI1740506393
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRAIRIE PSYCHOLOGICAL SERVICES PA
Location Address205 W FLETCHER STCrookston, MN 56716-1945
Mailing Address205 W Fletcher StCrookston, MN 56716-1945 · (281) 281-2117
Organization SubpartNo
Authorized OfficialDavid G JansenOwner And Director · (218) 281-2117
Enumeration DateApril 7, 2010
Last NPPES UpdateJuly 14, 2011
NPI 1740506393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
205 W FLETCHER ST, Crookston, MN 56716

Other Identifiers 4

Other63658PRMN · Bcbs Of Mn
Other6192932MN · Medica
Medicaid330748400MN
Medicare PINC05509MN

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 Prairie Psychological Services PA's NPI number?

The NPI number for Prairie Psychological Services PA is 1740506393. It was assigned to this organization in the NPPES registry on April 7, 2010.

Where is Prairie Psychological Services PA located?

Prairie Psychological Services PA is located at 205 W Fletcher St, Crookston, MN 56716. The listed phone number is (281) 281-2117.

What is Prairie Psychological Services PA's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Prairie Psychological Services PA was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.