Parkside Psychology, Inc.
NPI 1114175791 · Clinical Psychologist · Minneapolis, MN
Parkside Psychology, Inc. is a Clinical Psychologist organization in Minneapolis, MN (NPI 1114175791).
Provider details
- NPI number
- 1114175791
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Sally Moore, Psychologist/Owner(612) 871-4336
- License
- LP1891 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-08
- Last updated
- 2008-09-08
Frequently asked questions
- What is Parkside Psychology, Inc.'s NPI number?
- Parkside Psychology, Inc.'s National Provider Identifier (NPI) is 1114175791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Parkside Psychology, Inc.?
- Parkside Psychology, Inc. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Parkside Psychology, Inc. located?
- Parkside Psychology, Inc.'s practice location on file with NPPES is 2124 Dupont Ave S, Minneapolis, MN 55405-2700.
- What is Parkside Psychology, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Parkside Psychology, Inc. is (612) 871-4336.
- Who is the authorized official for Parkside Psychology, Inc.?
- The authorized official listed on Parkside Psychology, Inc.'s NPPES record is Sally Moore, Psychologist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Parkside Psychology, Inc.'s NPI active?
- Yes — Parkside Psychology, Inc.'s NPI (1114175791) is active in the NPPES registry as of the last update on 2008-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.