Organization
PSYCH RECOVERY INC
Active
Other names
Psych Recovery, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH E ANDERSON LICSW (CEO)
(651) 645-3115
Entity
Organization
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 229N, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Mailing address
2550 UNIVERSITY AVE W, SUITE 229N, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO8695
RAILROAD MEDICARE GA
MN
Enumeration date
04/02/2009
Last updated
06/06/2025
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