Center for Psychological Growth and Resilience
NPI 1003576653ActiveOrganization· Psychologist· Minneapolis, MN
Psychologist in Minneapolis, Minnesota, registered in NPPES in December 2021. The authorized official on file is Dennis Hannon, PSYD, LP, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003576653 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2021 |
| Last updated in NPPES | Apr 11, 2024 |
| Certified by provider | Apr 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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