Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Parkside Psychology, Inc

Organization Clinical Psychologist · NPI 1114175791

Parkside Psychology, Inc provides Clinical Psychologist services in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2124 Dupont Ave S 104
Minneapolis, MN 55405-2700 Not confirmed with CMS for 18 years — call before visiting
Phone: (612) 871-4336
Fax: (612) 929-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP1891 (MN)

Record details

NPI number1114175791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sally Moore — Psychologist/Owner · (612) 871-4336
NPI enumeratedSeptember 8, 2008
Last updated in NPPESSeptember 8, 2008
Mailing address2124 Dupont Ave S, 104, Minneapolis, MN 55405-2700

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