Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720155823 Individual Practitioner Male Practitioner

Brian William Putz , MA, LP

Psychologist • Brooklyn Center, MN

Professional Overview & Biography Verified Profile Summary

Brian Putz, MA, LP is a registered healthcare professional specializing in Psychologist in Brooklyn Center, MN. Practice services are available at 6200 SHINGLE CREEK PKWY STE 455 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6200 Shingle Creek Pkwy Ste 455

Brooklyn Center, MN 554302178

Telephone 7635038560
Fax 7635038563

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Brooklyn Center, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Brooklyn Center, MN (1833 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP3322

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Mn
657T1PU (MN)
Commercial Insurance / Payer ID Health Partners
HP31888 (MN)
Commercial Insurance / Payer ID Cigna
1021025 (MN)
Commercial Insurance / Payer ID Medica Ubh
62-50561 (MN)
Commercial Insurance / Payer ID Bhp Preferred 1
990991031581 (MN)
Commercial Insurance / Payer ID U Care
141966 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Amber Ross , MSW, LICSW

Social Worker - Clinical

NPI 1134457674

Master of Social Work, Licensed Independent Clinical Social Worker

Allison Key , MSM, PA-C

Physician Assistant

NPI 1154927879

MSM, Physician Assistant (Certified)

Amy Kuusisto-Lathrop , MSW, LICSW

Social Worker - Clinical

NPI 1275699381

Master of Social Work, Licensed Independent Clinical Social Worker

Whitney Mcelhone , MS, LPCC

Counselor - Professional

NPI 1316535370

Master of Science, Licensed Professional Clinical Counselor

Jackline Moriasi , MSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1326761842

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1356467856

Master of Social Work, Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6200 SHINGLE CREEK PKWY STE 455, BROOKLYN CENTER, MN 554302178 (Tel: 7635038560)

📍
Updated Business Mailing Address July 08, 2007

Registered at 15873 CRANE ST NW, ANDOVER, MN 553044560

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN PUTZ, MA, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP3322 in MN)

🟢
Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Brian Putz. Be the first to share your experience!

Sign in to leave a review for Brian Putz

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720155823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

15873 Crane St Nw

Andover, MN 553044560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.