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Consulting Psychologists Associates PA

NPI 1740559699ActiveOrganization· Psychologist, Cognitive & Behavioral· Saint Paul, MN

Psychologist, Cognitive & Behavioral in Saint Paul, Minnesota, registered in NPPES in December 2011. The authorized official on file is Bruce Keith Thordal, PHD, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1740559699
StatusActive
Entity typeOrganization
NPI issuedDec 22, 2011
Last updated in NPPESMay 5, 2026
Certified by providerMay 5, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Cognitive & Behavioral Primary103TB0200XLP1135MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MN)

Medicare sources and data years

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