DR. MICHAEL J SHEA (NPI# 1356425904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356425904 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J SHEA |
| Credential | PH.D. |
| Practice Address |
1730 Clifton Pl Ste 111 Minneapolis MN 55403-3242 |
| Practice Telephone | 6128712165 |
| Practice Fax Number | 6128712448 |
| Mailing Telephone | 6128712165 |
| Mailing Fax Number | 6128712448 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP2029 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICENCED PSYCHOLOGIST | LP 2029MN | 01 |
| MN | 421047600 | 05 | |
| MN | BLUE CROSS PROVIDER | 55676SH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838401 | Michael Francis Shea | Social Worker | 2311 M St Nw Ste 304, Washington, DC 20037-1445 | 2018-07-23 |
| 1447670401 | Michael Shea | Optometrist | 379 Prospect St, Torrington, CT 06790-5238 | 2014-04-17 |
| 1447371596 | Michael D. Shea | Nurse Practitioner | 339 West Main St., Hartford Healthcare Medical Medical Group, Avon, CT 06001 | 2007-04-03 |
| 1518018613 | Michael Philip Shea | Dentist | 1512 Grand Ave, #102, Glenwood Springs, CO 81601-3861 | 2007-01-15 |
| 1164050373 | Michael Shea | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-01 |
| 1841750874 | Michael Shea | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2019-03-25 |
| 1548726516 | Michael Patrick Shea | Social Worker | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-02-14 |
| 1659530178 | Michael Leigh Shea | Internal Medicine | 1113 S State St, Suite 100, Dover, DE 19901-4112 | 2008-06-09 |
| 1124146469 | Michael P Shea | Optometrist | 156 Power Center Dr, Dawsonville, GA 30534-9416 | 2007-03-26 |
| 1194875807 | Michael A. Shea | Family Medicine | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2007-01-12 |
| Street Address |
1730 CLIFTON PL STE 111 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55403-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508312174 | Afya Translation Corp | Interpreter | 1 E 19th Street, Suite 2, Minneapolis, MN 55403 | 2016-09-01 |
| 1891146692 | Alicia Kornacker | Doula | 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 | 2016-06-23 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1063871259 | Vicky Smiley-turner | Counselor | 1523 Nicollet Ave. South, Minneapolis, MN 55403 | 2016-02-16 |
| 1326449026 | Lowry Hill Psychotherapy and Assessment Center | Psychologist | 1910 Hennepin Ave S, Minneapolis, MN 55403 | 2014-09-12 |
| 1285062372 | Cheryl Patterson | Marriage & Family Therapist | 1725 2nd Ave So, Minneapolis, MN 55403 | 2013-10-29 |
| 1598101156 | Sherri M Dunham | Counselor | 1200 S Marquette Ave, Minneapolis, MN 55403 | 2013-05-21 |
| 1831533173 | Laura Farley Young | Social Worker | 1925 Nicollet Ave S, Minneapolis, MN 55403 | 2013-04-17 |
| 1275801797 | Elizabeth Ann Hamer | Counselor | 1717/1725 2nd Ave. So., Minneapolis, MN 55403 | 2011-12-12 |
| 1679859185 | Accord Medical Inc | Durable Medical Equipment & Medical Supplies | 1815 Nicollet Ave, Minneapolis, MN 55403 | 2011-10-27 |
| Find all providers in zip 55403 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1831740216 | Seth Gordon Disner | Psychologist | 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 | 2019-09-26 |
| 1366090763 | Healing Therapy LLC | Psychologist | 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 | 2019-08-28 |
| 1891340469 | Karin Fisher | Psychologist | 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 | 2019-08-09 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1689030231 | Oliver Ross Psychology and Consulting LLC | Psychologist | 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 | 2016-01-13 |
| 1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
| 1841664190 | Lakes Wellness Center LLC | Psychologist | 3248 Stevens Ave, Minneapolis, MN 55408-3214 | 2015-11-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55403 |
Please comment or provide details below to improve the information on DR. MICHAEL J SHEA.
| 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.