Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cornerstone Therapy and Recovery Center, PA

Organization Psychologist · NPI 1700895968

Cornerstone Therapy and Recovery Center, PA provides Psychologist services in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 University Ave W Ste 505
Saint Paul, MN 55104-3825
Phone: (651) 645-0980
Fax: (651) 645-3534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP 2974 (MN)

Record details

NPI number1700895968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kogan-White — President And Ceo · (651) 645-0980
NPI enumeratedAugust 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1600 University Ave W Ste 505, Saint Paul, MN 55104-3825

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