OrganizationActive
Childrens Health Care
NPI 1689778912 · Adolescent and Children Mental Health Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1689778912
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brenda Lu Mccormick, Sr. Vp and Chief Financial Officer(612) 813-6129
- License
- 331018 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
2525 Chicago Ave S
Childrens Speciality Clinic Psychological Services Mpls
Minneapolis, MN 55404
Phone: (612) 813-8455
Fax: (612) 813-8263
Approximate (ZIP-level) locationGet directions
Mailing address
5901 Lincoln Drive, Cbc-2-Rev/Pe
Edina, MN 55436-1611
Additional practice locations (1)
- 345 Smith Ave NSaint Paul, MN 55102-2346Phone: (651) 220-6000
Registry dates
- Enumerated
- 2006-09-08
- Last updated
- 2022-10-31
- Certified
- 2022-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.