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

Northeast Youth & Family Services

Organization Clinical Child & Adolescent Psychologist · NPI 1073098810

Northeast Youth & Family Services is a Clinical Child & Adolescent Psychologist in White Bear Lake, Minnesota. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1280 N Birch Lake Blvd
White Bear Lake, MN 55110-6708
Phone: (651) 429-8544
Fax: (651) 407-5301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X

Record details

NPI number1073098810
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheast Youth & Family Services
Authorized official Lisa Paquet — Clinic Operations Manager · (651) 379-3443
NPI enumeratedSeptember 27, 2018
Last updated in NPPESSeptember 27, 2018
Mailing address3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044