STACEY JUNGHANS


Address: 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724
Phone: 6515522600

STACEY JUNGHANS (NPI# 1396759585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396759585
Entity Type Individual
Full Name STACEY JUNGHANS
Credential M.A., LP
Practice Address 5625 Cenex Dr
Inver Grove Heights
MN 55077-1724
Mailing Address 8170 33rd Ave S
Ms 21110q
Bloomington
MN 55425-4516
Practice Telephone 6515522600
Practice Fax Number 6515522614
Mailing Telephone 6515522600
Mailing Fax Number 6515522614
Enumeration Date 2006-07-27
Last Update Date 2016-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 4106 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN UBH 62-62375 01
MN 285418000 05
MN P1 1022878 01
MN UC 124596 01
MN HP 30594 01
MN BCBS 20D41JU 01

Office Location

Street Address 5625 CENEX DR
City INVER GROVE HEIGHTS
State MN
Zip Code 55077-1724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558333666 Margaret L Breslin Psychologist 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1735 2006-02-02
1396245668 Kristina Baker Physician Assistant 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 2018-02-13
1447792957 Allison Doran Physician Assistant 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 2016-11-15
1619350006 Katherine Rose Vaughan Dentist 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 2015-07-02
1366822587 Andrea Elizabeth Larson Family Medicine 5625 Cenex Dr, Inver Grove Heights, MN 55077 2015-06-03
1922485598 Elizabeth Price Family Medicine 5625 Cenex Dr, Inver Grove Heights, MN 55077 2015-05-01
1962894683 Michelle De Fazio Dentist 5625 Cenex Dr, Healthpartners Inver Grove Heights Dental, Inver Grove Heights, MN 55077-1724 2015-03-04
1811316730 Abdirizak Nuno Psychiatry & Neurology 5625 Cenex Dr, Inver Grove Heights, MN 55077 2014-04-08
1245667633 Jillian Elise Holtz Damron Counselor 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 2013-10-01
1184063968 Katie Marie Lewis Social Worker 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 2013-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679194229 Suite Living Senior Care of Inver Grove Heights Assisted Living Facility 7900 Austin Way, Inver Grove Heights, MN 55077 2020-05-05
1801325402 Marnie Tuenge Counselor 4890 Ashley Lane, 301, Inver Grove Heights, MN 55077 2017-06-07
1104172576 Amanda Lefler Pharmacist 7841 Amana Trail, Inver Grove Heights, MN 55077 2012-08-03
1568743474 Jw Advantage Care, LLC Home Health 1870- 50th Street E., Suite 7, Inver Grove Heights, MN 55077 2011-09-06
1255625737 Greathomemn Assisted Living Facility 8668 A;lvarado Court, Inver Grove Heights, MN 55077 2011-06-02
1760794580 Inver Grove Heights Wp II, LLC Alzheimer Center (Dementia Center) 9058 Buchanan Trail, Inver Grove Heights, MN 55077 2010-07-09
1083847610 Inverwood Senior Living LLC Assisted Living Facility 7260 So. Robert Trail, Inver Grove Heights, MN 55077 2009-08-31
1205841434 Walgreen Co Pharmacy 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 2006-07-29
1023420437 Brittany Marie Bergstedt Pharmacist 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 2014-05-20
1225315302 Gregory Schuur Pharmacist 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 2011-11-03
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730716994 Tamolyn Patterson Benke Psychologist 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 2020-03-26
1518168111 Lynda Kay Borchers Psychologist 2346 78th Street East, Inver Grove Heights, MN 55076-2818 2007-05-30
1013002583 Michael Ward Psychologist 6775 Cahill Ave, Inver Grove Heights, MN 55076 2006-10-03
1558333666 Margaret L Breslin Psychologist 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1735 2006-02-02
1033374038 Paul W Heideman Psychologist 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1724 2008-07-20
1073792008 Erica Eccles-radtke Psychologist 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1724 2007-10-26
1629093380 Daniel Thomason Psychologist 5565 Blaine Ave, Inver Grove Heights, MN 55076 2006-07-13
1700852852 Marc C Schiappacasse Psychologist 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1735 2006-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493952 Michelle Brownfield Psychologist 606 Spear Ave, Duluth, MN 55803-2154 2020-10-01
1407496516 Liza N Meredith Psychologist Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 2020-01-07
1134764871 Avital Ogniewicz Psychologist 2519 Commerce Dr Nw, Rochester, MN 55901-4432 2019-11-15
1164065868 Karen Nicole Chinnock Psychologist 930 Blue Gentian Rd, Eagan, MN 55121-1674 2019-10-25
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1083257349 Nathaniel Page Psychologist 2423 Valley Dr, Northfield, MN 55057-3224 2019-10-18
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1164071148 Amy C Moran Psychologist Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 2019-09-11
1881243590 Bill Clafton Psyd Lp LLC Psychologist 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 2019-09-05
1073161220 Jeffrey Paul Olsen Psychologist 2275 Youngman Ave Ste 204, Saint Paul, MN 55116-3053 2019-08-30
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Competitor

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City INVER GROVE HEIGHTS
Zip Code 55077

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Dataset Information

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.

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