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

James Avenue Psychological Consultation, PA

Organization Clinical Child & Adolescent Psychologist · NPI 1407924780

James Avenue Psychological Consultation, PA is a Clinical Child & Adolescent Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
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

3005 James Ave S
Minneapolis, MN 55408-2533
Phone: (612) 227-2829
Fax: (612) 377-7501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence LP3550 (MN)

Record details

NPI number1407924780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Blair — President · (612) 227-2829
NPI enumeratedDecember 2, 2006
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address3220 Hampshire Ave N, Crystal, MN 55427-2249

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