DR. ROBERT GORDON NEAL (NPI# 1053464859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053464859 |
Entity Type | Individual |
Full Name | DR. ROBERT GORDON NEAL |
Credential | PHD |
Practice Address |
3842 Linden Ave White Bear Lake MN 55110-6207 |
Practice Telephone | 6512357668 |
Mailing Telephone | 6512357668 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP4666 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
1154548444 | Robert Alexander Neal | Dentist | 7151 Preston Rd Ste 431 D, Frisco, TX 75034-5859 | 2007-04-19 |
1720103088 | Robert Alan Neal | Pharmacist | 544 Main St W, Glencoe, AL 35905-1060 | 2007-03-19 |
1376632539 | Robert Keil Neal | Optometrist | 27010 Maple Valley Black Diamond Rd Se, Suite B, Maple Valley, WA 98038-8319 | 2006-10-12 |
1700848025 | Robert Thomas Neal | Radiology | 335 Scenic Dr, Lewisville, TX 75077 | 2006-04-03 |
1841570959 | Robert Brian Neal | Pharmacist | 5696 Highway 1 Byp, Natchitoches, LA 71457-3254 | 2011-08-19 |
1720230683 | Robert Lee Neal Jr. | Registered Nurse | 820 S Damen Ave, Chicago, IL 60612-3728 | 2008-10-22 |
1811147002 | Robert Bennett Neal Jr. | Military Health Care Provider | 7111 Sealion Rd, Commander, Submarine Development Squadron 5, Fpo, AP 98315-7111 | 2008-09-24 |
1497921514 | Robert A Neal | Psychiatry & Neurology | 3800 Independence Ave, Apt 3e, Bronx, NY 10463-1433 | 2008-05-08 |
1215111737 | Robert Allan Neal | Chiropractor | 4202 Summitview Ave, Yakima, WA 98908-2928 | 2007-12-19 |
Street Address |
3842 LINDEN AVE |
City | WHITE BEAR LAKE |
State | MN |
Zip Code | 55110-6207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
Find all providers in zip 55110 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497827596 | James Casey Kachel Slanga | Psychologist | 1280 North Birch Lake Blvd, White Bear Lake Area Community Counseling Center, White Bear Lake, MN 55110-6708 | 2006-11-14 |
1548342512 | Lisa Louise Woodruff | Psychologist | 4505 White Bear Pkwy, Suite 1800, White Bear Lake, MN 55110-3678 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
Find all providers with the same taxonomy |
City | WHITE BEAR LAKE |
Zip Code | 55110 |
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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.