SUSAN DE VRIES (NPI# 1427299023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427299023 |
| Entity Type | Individual |
| Full Name | SUSAN DE VRIES |
| Credential | MA, LP |
| Practice Address |
570 Asbury St Suite 310 Saint Paul MN 55104-1849 |
| Practice Telephone | 6516467010 |
| Practice Fax Number | 6516467668 |
| Mailing Telephone | 6516467010 |
| Mailing Fax Number | 6516467668 |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
LP 1035 | MN | Behavioral Health & Social Service Providers |
| Street Address |
570 ASBURY ST SUITE 310 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898642 | Kathleen M Pfaffinger | Psychologist | 570 Asbury St, Suite 103, Saint Paul, MN 55104-1849 | 2006-02-07 |
| 1578008900 | U.S. Healthworks Medical Group of Minnesota, PC | Physical Therapist | 570 Asbury St, Suite 101, Saint Paul, MN 55104-1849 | 2016-12-20 |
| 1124577614 | Malea Stoesz | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-09-26 |
| 1730635277 | Pheng Thao | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-25 |
| 1952856627 | Melissa Schoeberl | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-23 |
| 1699220418 | Shelby Marx | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-22 |
| 1407211154 | Shannon Pollreis-gottschalk | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2015-12-23 |
| 1134528557 | Practical Therapy LLC | Community/Behavioral Health | 570 Asbury St, Suite 206, Saint Paul, MN 55104-1849 | 2014-08-21 |
| 1407292386 | W.b.garrett Consulting LLC | Community/Behavioral Health | 570 Asbury St, 304-a, Saint Paul, MN 55104-1849 | 2013-05-17 |
| 1013215136 | Stephen M. Hjemboe, Ph.d., LLC | Psychologist | 570 Asbury St, Suite 208, Saint Paul, MN 55104-1849 | 2011-03-14 |
| Find all providers in the same location | ||||
| 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 | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093221129 | Terri E Bly | Psychologist | 1150 Montreal Ave Ste 107, Saint Paul, MN 55116-2393 | 2017-12-27 |
| 1952579385 | Sheila Thomas, M.a.l.p., Pllc | Psychologist | 821 Raymond Ave, Suite 270, Saint Paul, MN 55114-1503 | 2008-02-19 |
| 1730360207 | Lisa Marie Johnson | Psychologist | 2550 University Ave W, Suite 310n, Saint Paul, MN 55114-1052 | 2007-11-26 |
| 1922219070 | William J. Doherty | Psychologist | 821 Raymond Ave, Suite 440, Saint Paul, MN 55114-1503 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627520 | Everest Psychological Services | Psychologist | 2233 Hamline Ave N Ste 500, Roseville, MN 55113-5003 | 2020-04-13 |
| 1629213541 | Chad Thomas Lorenz | Psychologist | 1772 Steiger Lake Ln Ste 220, Victoria, MN 55386-7723 | 2008-12-05 |
| 1871749036 | Meritcare 1219 | Psychologist | 1219 S Washington Ave, Detroit Lakes, MN 56501-3905 | 2008-08-07 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| 1184197634 | Tracee C Robinson Foote-adams | Psychologist | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431-1432 | 2019-01-08 |
| 1124541644 | Lisa Jennet Trump | Psychologist | 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 | 2017-07-18 |
| 1366623324 | Christopher J Basten | Psychologist | 1206 W 96th St, Bloomington, MN 55431-2606 | 2007-11-19 |
| 1467664359 | Judy Tiesel | Psychologist | 7400 Metro Blvd, Suite 413, Edina, MN 55439-2316 | 2007-05-04 |
| 1255465803 | Douglas Carlton Williams | Psychologist | 1516 W Lake St, Suite 103, Minneapolis, MN 55408-2554 | 2007-03-15 |
| 1205982279 | Mary Woodward | Psychologist | 3345 Lexington Ave S, Suite 102, Eagan, MN 55121-2276 | 2007-01-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on SUSAN DE VRIES.
| 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.