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Active NPI 1104318526 Individual Practitioner Male Practitioner

Terrel Backes , LICENSED PSYCHOLOGIS

Psychologist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Terrel Backes, LICENSED PSYCHOLOGIS is a registered healthcare professional specializing in Psychologist in Minneapolis, MN. Practice services are available at 2712 FREMONT AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2712 Fremont Ave S

Minneapolis, MN 554081122

Telephone 6128728218
Associated Practice Facility / Clinic
🏢 Alpha Human Services, Inc. Facility NPI 1285754457

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
352 Specialists

Practicing in Minneapolis, MN (1833 Statewide)

Telehealth Adoption Rate
12.8% 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 LP5908

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

8 Associated Practitioners
Patrick Rookey , LICSW

Social Worker - Clinical

NPI 1194106252

Licensed Independent Clinical Social Worker

Kelly Cornell , MA, LPCC

Counselor - Professional

NPI 1215517560

Master of Arts, Licensed Professional Clinical Counselor

Daniel Zustiak , MA LMFT

Marriage & Family Therapist

NPI 1326435231

MALMFT

NPI 1427437631

Master of Arts

NPI 1740575596

Doctor of Psychology (Psy.D.)

Kymberleigh Wilhelmy

Counselor - Mental Health

NPI 1811523525

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2018

Registered at 2712 FREMONT AVE S, MINNEAPOLIS, MN 554081122 (Tel: 6128728218)

📍
Updated Business Mailing Address June 01, 2018

Registered at 2333 NEAL AVE S, AFTON, MN 550019765 (Tel: 6512761787)

👤
Provider Name / Credentials Updated June 01, 2018

Recorded as TERREL BACKES, LICENSED PSYCHOLOGIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Psychologist (License #LP5908 in MN)

🟢
Initial NPI Registration & Enumeration June 01, 2018

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: 1104318526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2018
Last Update: June 01, 2018
Sole Proprietor: No

Mailing Address

2333 Neal Ave S

Afton, MN 550019765

Phone: 6512761787

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.