Minneapolis Southwest Mental Health Clinic, Limited
NPI 1649485111ActiveOrganization· Psychologist· Edina, MN
Psychologist in Edina, Minnesota, registered in NPPES in May 2007. The authorized official on file is Dale Bremner Peterson, MALP, President.
Overview
| NPI | 1649485111 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP2893 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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