SARA VACCARELLA (NPI# 1245750652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245750652 |
Entity Type | Individual |
Full Name | SARA VACCARELLA |
Credential | PSYD |
Practice Address |
331 W Superior St Ste 300 Duluth MN 55802-4532 |
Mailing Address |
1346 W Arrowhead Rd # 163 Duluth MN 55811-2218 |
Practice Telephone | 2185912648 |
Mailing Telephone | 2183490203 |
Enumeration Date | 2017-06-27 |
Last Update Date | 2017-06-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP6008 | MN | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
LP6008 | MN | Behavioral Health & Social Service Providers |
Y | 103TF0200X |
Psychologist Specialization: Forensic |
LP6008 | MN | Behavioral Health & Social Service Providers |
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LP6008 | MN | Behavioral Health & Social Service Providers |
Street Address |
331 W SUPERIOR ST STE 300 |
City | DULUTH |
State | MN |
Zip Code | 55802-4532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
Find all providers in zip 55802 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326483843 | Franco Peric | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2013-05-10 |
1598328155 | Superior Forensic Consulting | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2019-04-19 |
1649207341 | Anita M Schlank | Psychologist | 1401 E 1st St, Duluth, MN 55805-2407 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306479316 | Brie Pileggi-valleen | Psychologist | 413 Brandywine Dr, Burnsville, MN 55337-4023 | 2020-02-18 |
1083961635 | National Initiatives for Healthy Youth | Psychologist | 7948 Quail Ave N, Brooklyn Park, MN 55443-2423 | 2012-08-13 |
1407023591 | Kelly Wilson | Psychologist | 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 | 2008-05-08 |
1043481658 | Edmund Edward Nadolny | Psychologist | 1000 Willmar Ave Sw, Behavioral Forensic Services, Willmar, MN 56201-3067 | 2008-03-23 |
1093859332 | Associated Counseling Services, Pllc | Psychologist | 2625 Edgerton St, Little Canada, MN 55117-1620 | 2007-02-19 |
1124643408 | Adam Gierok | Psychologist | 1516 W Lake St Ste 110, Minneapolis, MN 55408-2554 | 2020-06-11 |
1316587967 | Lauren Reed | Psychologist | 8640 Eagle Creek Cir, Savage, MN 55378-4400 | 2020-01-12 |
1376071316 | Alexander G Kovic | Psychologist | 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 | 2017-06-02 |
1043660517 | Mary Kathryn Kenning | Psychologist | 5100 Eden Ave, Suite 320, Edina, MN 55436-2337 | 2016-06-15 |
1306099379 | Nicholas Druhn | Psychologist | 300 S 6th St, Suite C-509, Minneapolis, MN 55487-0351 | 2008-11-03 |
Find all providers with the same taxonomy |
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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.