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

Dr. Philip David Imholte, PSYD

Individual provider Counseling Psychologist · NPI 1740821214

Dr. Philip David Imholte, PSYD is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2021, 5 years ago. Practices with Northeast Neuropsychology LLC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Minnesota.

Years since qualifying
5
Licensed in
CT, MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3259 Zarthan Ave S
Minneapolis, MN 55416-2062
Phone: (320) 828-0864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 77 Mill St, Westfield, MA 01085-4598 — (413) 568-6141

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence LP6876 (MN)
Counseling Psychologist Taxonomy 103TC1900X · Licence 004270 (CT)

Record details

NPI number1740821214
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 4, 2019
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northeast Neuropsychology Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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