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Dr. Kent Gregory Brockmann, MD
Adolescent and Children Mental Health Clinic/Center in Lake Elmo, Minnesota
NPI 1245281823

Kent Gregory Brockmann is an Adolescent and Children Mental Health Clinic/Center based in Lake Elmo, MN and is specialized in Adolescent and Children Mental Health. Kent Gregory Brockmann practices in Lake Elmo, MN and has the professional credentials of MD. The NPI Number for Kent Gregory Brockmann is 1245281823 and holds a License No. 44519 (Minnesota).

The current practice location address for Kent Gregory Brockmann is 8673 Eagle Point Blvd, Lake Elmo, MN and can be reached out via phone at 651-209-9383 and via fax at 651-209-9384.

Location: 8673 Eagle Point Blvd, Lake Elmo, MN, 55042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245281823
Provider Name
Kent Gregory Brockmann
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8673 Eagle Point Blvd, Lake Elmo, MN, 55042
Phone Number
651-209-9383
Fax Number
651-209-9384
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
087897900 05 MN
273L3BR 01 MN BLUECROSS/BLUESHIELD MN
15-45530 01 MN MEDICA/UBH ID
institution
Provider Business Practice Location Address Details
Address
8673 Eagle Point Blvd
City
Lake Elmo
State
Minnesota
Zip
55042
Phone Number
651-209-9383
Fax Number
651-209-9384
person
Provider Business Mailing Address Details
Address
8673 Eagle Point Blvd
City
Lake Elmo
State
Minnesota
Zip
55042
Phone Number
651-209-9383
Fax Number
651-209-9384
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
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Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
48376-20 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
44519 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
44519 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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