MEDICARE: MINNESOTA PSYCHOANALYTIC COLLECTIVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1013840982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINNESOTA PSYCHOANALYTIC COLLECTIVE

Provider Business Mailing Address
First Line	:	2709 PORTLAND AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1020
Country	:	US
Telephone Number	:	320-290-7330
Fax Number	:

Provider Business Practice Location Address
First Line	:	2709 PORTLAND AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1020
Country	:	US
Telephone Number	:	320-290-7330
Fax Number	:	320-290-7330

Authorized Official
Title or Position	:	MEMBER
Name	:	SAMUEL LEHMAN CONWAY
Credential	:	MS LPCC
Telephone Number	:	320-290-7330

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1851393672 — JEAN YEUNG MOON PHARM.D.
Practice Location Address:

1020 W BROADWAY AVE
MINNEAPOLIS, MN
55411-2504

Practice Phone: 612-302-8361
Practice Fax: 612-302-8277

1760442065 — TRICIA JH HALL DO
Practice Location Address:

1020 BROADWAY AVE , UMPHYSICIANS BROADWAY FAMILY MEDICINE
MINNEAPOLIS, MN
55411

Practice Phone: 612-302-8200
Practice Fax: 612-302-8275

1578503520 — ANDREW H SLATTENGREN DO
Practice Location Address:

1020 BROADWAY AVE , UMPHYSICIANS BROADWAY FAMILY MEDICINE
MINNEAPOLIS, MN
55411

Practice Phone: 612-302-8200
Practice Fax: 612-302-8275

1952345639 — GEOFFREY THOMAS ABBOTT LICSW
Practice Location Address:

1020 W BROADWAY AVE , UMPHYSICIANS BROADWAY FAMILY MEDICINE
MINNEAPOLIS, MN
55411-2504

Practice Phone: 612-302-8200
Practice Fax: 612-302-8275

1043254006 — DR. JERICA BERGE PHD, LMFT
Practice Location Address:

UMPHYSICIANS BROADWAY FAMILY MEDICINE , 1020 WEST BROADWAY
MINNEAPOLIS, MN
55411

Practice Phone: 612-302-8200
Practice Fax: 612-302-8275

1083640833 — DR. ROBERT B. LEVY M.D.
Practice Location Address:

1020 WEST BROADWAY AVE , UNIVERSITY OF MINNESOTA
MINNEAPOLIS, MN
55411-2504

Practice Phone: 612-302-8200
Practice Fax: 612-521-4725

Directions to “MINNESOTA PSYCHOANALYTIC COLLECTIVE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.