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

Cornerstone Therapy and Recovery Center, PA

Organization Psychologist · NPI 1700895968

Cornerstone Therapy and Recovery Center, PA is a Psychologist 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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