Organization
CENTER FOR PSYCHOLOGICAL CONSULTATION, P.A.
Active
Organization
CENTER FOR PSYCHOLOGICAL CONSULTATION, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD BOSCARDIN PH.D. (PRESIDENT)
(612) 719-0856
Entity
Organization
Contact information
Practice address
8085 WAYZATA BLVD, SUITE 100B, GOLDEN VALLEY, MN 55426-1453
(612) 719-0856
(651) 484-8551
Mailing address
1092 LAWNVIEW AVE, SHOREVIEW, MN 55126-8408
(612) 719-0856
(651) 484-8551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710552500
—
MI
Enumeration date
11/18/2011
Last updated
11/18/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up