Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821364001 Individual Practitioner Male Practitioner

Dr. Collin Davidson , PhD

Psychologist - Cognitive & Behavioral • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Collin Davidson, PhD is a registered healthcare professional specializing in Psychologist - Cognitive & Behavioral in Minneapolis, MN. Practice services are available at 1221 W LAKE ST STE 201 under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, group psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1221 W Lake St Ste 201

Minneapolis, MN 554083565

Telephone 3033998020
Associated Practice Facility / Clinic
🏢 Va Eastern Colorado Hcs Facility NPI 1760468680

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Minneapolis, MN (54 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
65 14 $236.00 $90.23

Medical Specialties & State Licenses

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License MN LP5748

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Psychologist

NUCC Taxonomy Code: 103T00000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Paul Rynecki

Registered Nurse

NPI 1003299553
NPI 1003393018

Doctor of Philosophy (Ph.D.)

Mara Vinton

Social Worker

NPI 1003437229
NPI 1013164904

Doctor of Medicine (M.D.)

Dr. Sean Barnes , PhD

Psychologist - Clinical

NPI 1013165489

Doctor of Philosophy (Ph.D.)

NPI 1013239912

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 04, 2019

Registered at 1221 W LAKE ST STE 201, MINNEAPOLIS, MN 554083565 (Tel: 3033998020)

📍
Updated Business Mailing Address July 04, 2019

Registered at 4419 WENTWORTH AVE, MINNEAPOLIS, MN 554194941 (Tel: 4056123428)

👤
Provider Name / Credentials Updated July 04, 2019

Recorded as COLLIN DAVIDSON, PHD

NPI Profile Active April 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2012

Registered at 1055 CLERMONT ST, DENVER, CO 802203808 (Tel: 3033998020)

📍
Updated Business Mailing Address April 01, 2012

Registered at 500 13TH AVE E, APT 202, SEATTLE, WA 981025183 (Tel: 4056123428)

👤
Provider Name / Credentials Updated April 01, 2012

Recorded as COLLIN DAVIDSON, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2012

Psychologist

🟢
Initial NPI Registration & Enumeration April 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821364001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2012
Last Update: July 04, 2019
Sole Proprietor: No

Mailing Address

4419 Wentworth Ave

Minneapolis, MN 554194941

Phone: 4056123428

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.