MS. ALISSA LYNN MCCANN (NPI# 1104120997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104120997 |
| Entity Type | Individual |
| Full Name | MS. ALISSA LYNN MCCANN |
| Credential | PSYD |
| Practice Address |
1850 Beam Ave Maplewood MN 55109-1162 |
| Practice Telephone | 6512419461 |
| Mailing Telephone | 6512419461 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP5329 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1850 BEAM AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225003866 | Mary K Brown | Pediatrics | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-02-17 |
| 1386151413 | Nasra Thakur | Nurse Practitioner | 1850 Beam Ave, Maplewood, MN 55109 | 2018-01-10 |
| 1326305996 | Chee Vang | Family Medicine | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2012-04-19 |
| 1063706174 | Lauren K Maurer | Internal Medicine | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2011-06-06 |
| 1144526930 | Allina Health System | Clinic/Center | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2011-01-27 |
| 1508038969 | Elizabeth Dalstrom Pai | Pediatrics | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2008-03-26 |
| 1801092432 | Syed Hasan | Family Medicine | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2007-06-21 |
| 1912932351 | Robert Mayrand | Pediatrics | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-07-12 |
| 1972538080 | Anthony Bauer | Optometrist | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-07-11 |
| 1497780340 | John Raines | Internal Medicine | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053719732 | Novo Psychological Services, LLC | Psychologist | 720 Viking Dr E, Maplewood, MN 55117-1666 | 2014-12-12 |
| 1225434970 | Jessica Danielle Riggs | Psychologist | 1122 Ferndale St N, Maplewood, MN 55119-3634 | 2014-11-07 |
| 1528213824 | Amelia Kaplan Romanowsky | Psychologist | 13 Euclid Ave, Maplewood, NJ 07040-2121 | 2008-12-01 |
| 1679607832 | Jean M. Birbilis | Psychologist | 2721 Upper Afton Rd E Ste 101, Maplewood, MN 55119-4760 | 2007-03-16 |
| 1902930837 | Christine Knecht Church | Psychologist | 2721 Upper Afton Rd E, Suite 101, Maplewood, MN 55119-4760 | 2007-03-15 |
| 1235264359 | Judith S. Bernstein | Psychologist | 511 Valley Street, Suite 201, Maplewood, NJ 07040 | 2007-02-22 |
| 1457405631 | Lauren Elizabeth Meisels | Psychologist | 491 Ridgewood Rd, Maplewood, NJ 07040-2136 | 2007-01-23 |
| 1700934726 | Amy J Hartford | Psychologist | 1 Lenox Place, Suite C, Maplewood, NJ 07040-1417 | 2007-01-08 |
| 1336237114 | Zehra Ansari | Psychologist | 2383 Standridge Ave, Maplewood, MN 55109-1545 | 2006-10-10 |
| 1740372515 | David Stuart Gomberg | Psychologist | 169 Maplewood Avenue, Maplewood, NJ 07040 | 2006-09-29 |
| Find all providers in MAPLEWOOD | ||||
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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.