Organization
MENTAL HEALTH SYSTEMS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARD CARLSON PSYD LP (PRESIDENT)
(952) 835-2002
Entity
Organization
Contact information
Practice address
7200 FRANCE AVE, STE 327, EDINA, MN 55435-4310
(952) 835-2002
(952) 835-9889
Mailing address
7200 FRANCE AVE, STE 327, EDINA, MN 55435-4310
(952) 835-2002
(952) 835-9889
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034301
PREFERRED ONE
—
01
—
103953
UCARE
—
01
—
124R9ME
BCBS
—
05
—
58068200
—
MN
01
—
8448303
MEDICA
—
01
—
92012
HEALTH PARTNERS
—
Enumeration date
10/16/2006
Last updated
08/22/2020
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