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COLLIN DAVIDSON PHD
NPI 1821364001
Psychologist - Cognitive & Behavioral in Minneapolis, MN

Active since April 01, 2012
1221 W LAKE ST STE 201, MINNEAPOLIS, MN 55408(303) 399-8020 Get Directions Write a Review

NPPES record last updated: July 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collin Davidson Phd NPPES

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

COLLIN DAVIDSON PHD (NPI 1821364001) is an individual cognitive & behavioral provider in Minneapolis, Minnesota, licensed in Minnesota (LP5748) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1821364001
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameCOLLIN DAVIDSONCredential: PHD
Location Address1221 W LAKE ST STE 201Minneapolis, MN 55408-3565
Mailing Address4419 Wentworth AveMinneapolis, MN 55419-4941 · (405) 612-3428
Phone(303) 399-8020
Sole ProprietorNo
Enumeration DateApril 1, 2012
Last NPPES UpdateJuly 4, 2019
✔ NPI 1821364001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MN · LP5748
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologistTaxonomy 103T00000X
1221 W LAKE ST STE 201, Minneapolis, MN 55408
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Other Providers at the Same Location NPPES 7

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

DR. JUSTIN MICHAEL PENNY D.O.
Family Medicine
1221 W LAKE ST STE 201
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1772
DR. DOMINIC PAUL DECKER M.D.
Internal Medicine
1221 W LAKE ST STE 201
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1772
DR. KEVIN MERLIN O'DONNELL MD
Internal Medicine
1221 W LAKE ST STE 201
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1772
RYAN PATRICK EGAN MA
Counselor
1221 W LAKE ST STE 201
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1772
DR. ALISON MARIE BORMANN M.D
Internal Medicine (Infectious Disease)
1221 W LAKE ST STE 201
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1772
WILLIAM LARSON
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1221 W LAKE ST STE 201
MINNEAPOLIS, MN 55408
Hennepin County (612) 270-9652
VEETI TANDON MD
Internal Medicine
1221 W LAKE ST STE 201
MINNEAPOLIS, MN 55408
Hennepin County (612) 824-1772

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 Collin Davidson's NPI number?

The NPI number for Collin Davidson is 1821364001. It was assigned to this individual provider in the NPPES registry on April 1, 2012.

Where is Collin Davidson located?

Collin Davidson practices at 1221 W Lake St Ste 201, Minneapolis, MN 55408. The listed phone number is (303) 399-8020.

What is Collin Davidson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Collin Davidson was last updated on July 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.