PEDIATRIC SERVICES PA
NPI 1962553917
Clinic/Center in St Louis Park, MN

Q: What is Pediatric Services PA's NPI number?

The NPI number for Pediatric Services PA is 1962553917. It was assigned to this organization in the NPPES registry on January 16, 2007.

Q: What is Pediatric Services PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 16, 2007CLIA 24D0401213 · Certificate of Compliance

4700 PARK GLEN RD, ST LOUIS PARK, MN 55416(952) 922-4200(952) 922-4301 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Services Pa NPPES

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

PEDIATRIC SERVICES PA (NPI 1962553917) is a healthcare organization registered as a clinic/center in St Louis Park, Minnesota and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 19, 2028 and lists Jennifer Zerba, Administrative Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962553917

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePEDIATRIC SERVICES PA

Location Address4700 PARK GLEN RDSt Louis Park, MN 55416-5701

Mailing Address4700 Park Glen RdSt Louis Park, MN 55416-5701 · (952) 922-4200 · Fax (952) 922-4301

Phone(952) 922-4200

Fax(952) 922-4301

Organization SubpartNo

Authorized OfficialJennifer ZerbaAdministrative Office Manager · (952) 922-4200

Enumeration DateJanuary 16, 2007

Last NPPES UpdateMarch 10, 2016

✔ NPI 1962553917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MN · 1056

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4700 PARK GLEN RD, St Louis Park, MN 55416

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Other Identifiers 1

Medicaid485010600MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D0401213

Pediatric Services, PA · Saint Louis Park, MN

Active · expires Jun 19, 2028

CLIA Number24D0401213

Laboratory TypePhysician Office

Certificate Effective DateJune 20, 2026

Certificate Expiration DateJune 19, 2028

Laboratory DirectorRebecca L. Mahady

Laboratory Phone(952) 922-4200

Laboratory LocationPediatric Services, PA4700 Park Glen Road, Saint Louis Park, MN 55416

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

OLITZKY PEDIATRIC PSYCHOLOGICAL SERVICES LLC

Psychologist (Clinical Child & Adolescent)

4700 PARK GLEN RD
ST LOUIS PARK, MN 55416

Hennepin County (917) 575-7985

MRS. KIRSTEN REBEKKA MORSE APRN, CNP

Nurse Practitioner (Pediatrics)

4700 PARK GLEN RD
ST LOUIS PARK, MN 55416

Hennepin County (952) 922-4200

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 Pediatric Services PA's NPI number?

The NPI number for Pediatric Services PA is 1962553917. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Pediatric Services PA located?

Pediatric Services PA is located at 4700 Park Glen Rd, St Louis Park, MN 55416. The listed phone number is (952) 922-4200.

What is Pediatric Services PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Pediatric Services PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0401213) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Services PA accept?

Health plans from HealthPartners and Medica list Pediatric Services PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Services PA was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.