Shoreview Mental Health Center, LLC
NPI 1558735779ActiveOrganization· Psychologist· Shoreview, MN
Psychologist in Shoreview, Minnesota, registered in NPPES in November 2015. The authorized official on file is Jeanette Balfe-Groh, LP,PSYD, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558735779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2015 |
| Last updated in NPPES | Feb 27, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP5097 | MN |
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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