PSYCHOLOGICAL CONSULTANTS OF SO MN PA
NPI 1841316015
Psychologist in White Bear Lake, MN

Active since March 21, 2007
4663 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110(612) 508-9309 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Psychological Consultants Of So Mn Pa NPPES

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

PSYCHOLOGICAL CONSULTANTS OF SO MN PA (NPI 1841316015) is a healthcare organization registered as a psychologist in White Bear Lake, Minnesota and active in the NPI registry since March 2007. The organization lists Paul Reitman, Owner, as its authorized official.

NPPES Registry Identity

NPI1841316015
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePSYCHOLOGICAL CONSULTANTS OF SO MN PA
Location Address4663 WHITE BEAR PKWYWhite Bear Lake, MN 55110-3300
Mailing Address3230 Orchard CtWhite Bear Lake, MN 55110-5385 · (612) 508-9309
Organization SubpartNo
Authorized OfficialPaul ReitmanOwner · (612) 508-9309
Enumeration DateMarch 21, 2007
Last NPPES UpdateApril 29, 2013
NPI 1841316015 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.
4663 WHITE BEAR PKWY, White Bear Lake, MN 55110

Other Identifiers 4

Other41511PSMN · Blue Cross Minnesota
Medicaid452444600MN
Other1007131MN · Preferred One
Medicare PINCO3388MN

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

Other Providers at the Same Location NPPES 3

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

Psychologist
4663 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Psychologist
4663 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Psychologist
4663 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110

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 Psychological Consultants Of So Mn PA's NPI number?

The NPI number for Psychological Consultants Of So Mn PA is 1841316015. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Psychological Consultants Of So Mn PA located?

Psychological Consultants Of So Mn PA is located at 4663 White Bear Pkwy, White Bear Lake, MN 55110. The listed phone number is (612) 508-9309.

What is Psychological Consultants Of So Mn PA'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 Psychological Consultants Of So Mn PA was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.