MR. NATHANIEL STEWART JR. (NPI# 1225199052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225199052 |
| Entity Type | Individual |
| Full Name | MR. NATHANIEL STEWART JR. |
| Credential | M.A., L.P. |
| Practice Address |
1535 Laurel Ave Saint Paul MN 55104-6739 |
| Practice Telephone | 6516450645 |
| Practice Fax Number | 6516450630 |
| Mailing Telephone | 6516450645 |
| Mailing Fax Number | 6516450630 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LP2279 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 86656ST | 01 |
| MN | MEDICA | 62-73761 | 01 |
| MN | 111770 | UCARE MN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376075457 | Nathaniel D Stewart | Family Medicine | 593 E Main St, Frankfort, KY 40601-2332 | 2017-03-29 |
| 1023412426 | Nathaniel Duane Stewart | Nurse Anesthetist, Certified Registered | 1818 Albion St, Anesthesia Department, Nashville, TN 37208-2918 | 2014-10-14 |
| 1063773422 | Nathaniel Robert Stewart | Family Medicine | 1122 S Ironwood Dr, South Bend, IN 46615 | 2012-06-01 |
| 1225064017 | Nathaniel James Stewart | Orthopaedic Surgery | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2006-06-23 |
| Street Address |
1535 LAUREL AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740417757 | Psychology & Rehabilitation Services, Ltd | Community/Behavioral Health | 1535 Laurel Ave, Saint Paul, MN 55104-6739 | 2009-06-17 |
| 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 | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942494216 | Pathways Counseling Center, Inc. | Psychologist | 1919 University Ave W, Suite 6, Saint Paul, MN 55104-3453 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721818 | Rene Mooney Psyd Pllc | Psychologist | 419 3rd St E, Thief River Falls, MN 56701-2104 | 2020-05-13 |
| 1912111204 | Barbara Weller Licsw LLC | Psychologist | 5170 Mcquade Road, Duluth, MN 55804-2943 | 2007-05-09 |
| 1922145622 | Associates In Psychiatry and Psychology | Psychologist | 3101 Superior Dr Nw, Rochester, MN 55901-1993 | 2007-01-31 |
| 1457414179 | Kathryn Mary Mcalister | Psychologist | 1700 North Broadway, Suite 102, Rochester, MN 55906-4144 | 2006-12-18 |
| 1255373403 | Allina Health System | Psychologist | 710 E. 24th Street, # 303, Minneapolis, MN 55407-1321 | 2006-06-12 |
| 1154954857 | Christopher John Schiffer | Psychologist | 1516 W Lake St, Minneapolis, MN 55408-2554 | 2020-02-20 |
| 1548790215 | Roberta Gerling LLC | Psychologist | 16204 Highway 7, Minnetonka, MN 55345-3405 | 2017-06-15 |
| 1023153491 | Park Psychotherapy & Consulting Inc | Psychologist | 4601 Excelsior Blvd, Suite 501, St Louis Park, MN 55416 | 2007-02-21 |
| 1659443992 | Southwest Family Serivces | Psychologist | 3108 Hennepin Ave, Minneapolis, MN 55408-2619 | 2006-11-14 |
| 1154490258 | Mary Louise Harlow | Psychologist | 3100 W Lake St, #320, Minneapolis, MN 55416-4527 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.