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Deactivated NPI 1922128149 Deactivated / Inactive NPI Male Practitioner

Dr. Patrick David Cotter , PhD

Psychologist • St Louis Park, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Patrick Cotter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 30, 2007
NPI Deactivation Date January 09, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Cotter, PhD was a registered Psychologist practicing in St Louis Park, MN. Throughout an active medical career spanning 11 years, Dr. Cotter provided care at the practice location at 4601 EXCELSIOR BLVD until profile deactivation on 2018-01-09.

Practice Location & Contact Primary Location

Practice Address

4601 Excelsior Blvd
# 301

St Louis Park, MN 554164960

Telephone 9529204570
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in St Louis Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
82 Specialists

Practicing in St Louis Park, MN (1833 Statewide)

Telehealth Adoption Rate
29.3% 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 LP2641

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

5 Associated Practitioners
M. Marsh , MALADC

Counselor - Addiction (Substance Use Disorder)

NPI 1477699577
Dr. Carl Hansen , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1508114810

Doctor of Medicine (M.D.)

Jane Legwold , RN CNS MSN LMFT

Clinical Nurse Specialist

NPI 1518092642

RNCNSMSNLMFT

Dr. Mark Schuler , PhD

Psychologist - Clinical

NPI 1699713479

Doctor of Philosophy (Ph.D.)

Laura Dodge

Psychologist - Clinical

NPI 1881739241

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 09, 2018

Record deactivated on January 09, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4601 EXCELSIOR BLVD, # 301, ST LOUIS PARK, MN 554164960 (Tel: 9529204570)

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Updated Business Mailing Address July 08, 2007

Registered at 4616 NORMANDALE HIGHLANDS DR, BLOOMINGTON, MN 554372313 (Tel: 9528359859)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PATRICK COTTER, PH. D.

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

Psychologist (License #LP2641 in MN)

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Initial NPI Registration & Enumeration March 30, 2007

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: 1922128149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: July 08, 2007
Deactivation Date: January 09, 2018

Mailing Address

4616 Normandale Highlands Dr

Bloomington, MN 554372313

Phone: 9528359859

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.