MEDICARE: NORTHSTAR PSYCHOLOGICAL, PLLC

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	251S00000X	Community/Behavioral Health Agency	LP4888	MN

General Provider Information

NPI Number	:	1033357355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHSTAR PSYCHOLOGICAL, PLLC

Provider Business Mailing Address
First Line	:	20669 FENSTON AVE N
Second Line	:
City	:	FOREST LAKE
State	:	MN
Zip	:	55025-9810
Country	:	US
Telephone Number	:	612-275-7564
Fax Number	:	651-982-0910

Provider Business Practice Location Address
First Line	:	8009 34TH AVE S
Second Line	:	RIVERVIEW OFFICE TOWER, SUITE 1490
City	:	BLOOMINGTON
State	:	MN
Zip	:	55425-1608
Country	:	US
Telephone Number	:	612-275-7564
Fax Number	:	952-854-5062

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. ROBERT GELMER VAN NOORD
Credential	:	PH.D., L.P.
Telephone Number	:	612-275-7564

Provider Enumeration Date	:	01/23/2009
Last Update Date	:	01/23/2009

Similar Medicare Providers

1184616534 — DR. SLOAN RENEE KING PHD
Practice Location Address:

8009 34TH AVE S , SUITE 1490
BLOOMINGTON, MN
55425-1608

Practice Phone: 952-854-5550
Practice Fax:

1235354531 — MS. JEAN MANLOVE LICSW
Practice Location Address:

8009 34TH AVE S , SUITE 1490
BLOOMINGTON, MN
55425-1608

Practice Phone: 952-854-5550
Practice Fax: 952-854-5062

1639364326 — MS. CHRISTINE DOOLEY-HARRINGTON LICSW
Practice Location Address:

8009 34TH AVE S , SUITE 1490
BLOOMINGTON, MN
55425-1608

Practice Phone: 651-324-7740
Practice Fax:

1427350362 — DR. CHERYL KAY SYBESMA VAN NOORD PH.D., LP
Practice Location Address:

8009 34TH AVE S , RIVERVIEW OFFICE TOWER, SUITE 1490
BLOOMINGTON, MN
55425-1608

Practice Phone: 612-408-5857
Practice Fax:

1023782711 — ANCHORWORK INC
Practice Location Address:

8009 34TH AVE S STE 1225
BLOOMINGTON, MN
55425-1608

Practice Phone: 518-469-2843
Practice Fax: 612-452-5441

1881602571 — MR. SHAWN SOULE LCPC
Practice Location Address:

2416 E WASHINGTON ST STE A3
BLOOMINGTON, IL
61704-1608

Practice Phone: 309-825-2125
Practice Fax:

Directions to “NORTHSTAR PSYCHOLOGICAL, PLLC ” 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.