DR. ERIK DE WATER (NPI# 1013557057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013557057 |
| Entity Type | Individual |
| Full Name | DR. ERIK DE WATER |
| Credential | PHD |
| Practice Address |
1876 Minnehaha Ave W Saint Paul MN 55104-1029 |
| Mailing Address |
333 Sibley St Unit 602 Saint Paul MN 55101-2694 |
| Practice Telephone | 6519172370 |
| Mailing Telephone | 6463348790 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
1876 MINNEHAHA AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
| 1629150479 | Nan C Truitt | Clinical Neuropsychologist | 265 Phalen Blvd, Saint Paul, MN 55130-2400 | 2006-10-20 |
| 1619066446 | Kristen Ann Ryan | Clinical Neuropsychologist | 190 5th St E, Ste. 100, Saint Paul, MN 55101-2666 | 2006-10-12 |
| 1770689705 | Gale Valtinson & Associates Pa | Clinical Neuropsychologist | 423 Warwick St, Saint Paul, MN 55105-2548 | 2006-09-16 |
| 1568473569 | Jack B. Schaffer | Clinical Neuropsychologist | 1790 Goodrich Ave, Saint Paul, MN 55105-1907 | 2006-08-11 |
| 1053936922 | Suzanne Moseley | Clinical Neuropsychologist | 225 Smith Ave N, Saint Paul, MN 55102-2533 | 2020-06-16 |
| 1720540974 | Tou Khang | Clinical Neuropsychologist | 393 Dunlap St N Ste 105, Saint Paul, MN 55104-4211 | 2019-04-04 |
| 1811434038 | Sarah Marie Olson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-25 |
| 1437576840 | Jordan Robinson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-03-24 |
| 1750652350 | Kara L Leiser | Clinical Neuropsychologist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2012-01-13 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on DR. ERIK DE WATER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.