PAUL R ENDRES


Address: 4505 White Bear Pkwy, Suite 1800, White Bear Lake, MN 55110
Phone: 6514268191

PAUL R ENDRES (NPI# 1437231933) 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) 1437231933
Entity Type Individual
Full Name PAUL R ENDRES
Credential LP
Practice Address 4505 White Bear Pkwy
Suite 1800
White Bear Lake
MN 55110
Mailing Address 2230 Midland Grove Rd
#305
St Paul
MN 55113
Practice Telephone 6514268191
Practice Fax Number 6514266766
Mailing Telephone 6516335355
Enumeration Date 2006-10-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 0346LP MN Behavioral Health & Social Service Providers

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1689160541 Paul Matthias Endres Specialist/Technologist 100 Peach St Ste 101, Erie, PA 16507-1423 2018-07-03
1326201195 Paul James Endres Family Medicine 82 Jessup Avenue, Po Box 1215, Quogue, NY 11959-1215 2008-07-02

Office Location

Street Address 4505 WHITE BEAR PKWY
SUITE 1800
City WHITE BEAR LAKE
State MN
Zip Code 55110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942395256 Sharon Kay Doffing Psychologist 4505 White Bear Pkwy, #1800, White Bear Lake, MN 55110-3678 2006-10-03
1659796050 Sawyer Solutions LLC Clinic/Center 4505 White Bear Pkwy, Suite 2200, White Bear Lake, MN 55110-3678 2014-02-22
1285700740 Claudia V. Bertramsen Psychologist 4505 White Bear Pkwy, White Bear Lake, MN 55110-3678 2006-11-28
1225107808 Steven P Sawyer Social Worker 4505 White Bear Pkwy, Suite 2200, White Bear Lake, MN 55110-3678 2006-11-07
1548342512 Lisa Louise Woodruff Psychologist 4505 White Bear Pkwy, Suite 1800, White Bear Lake, MN 55110-3678 2006-10-19
1639250111 Center for Human Development of White Bear Lake, Inc. Social Worker 4505 White Bear Pkwy, Suite 1800, White Bear Lake, MN 55110-3678 2006-10-18
1053492520 Diane Elizabeth Bauer Social Worker 4505 White Bear Pkwy, Suite 1800, White Bear Lake, MN 55110-3678 2006-10-18
1669566865 Sue Anne Dallman Social Worker 4505 White Bear Pkwy, Center for Human Development, White Bear Lake, MN 55110-3678 2006-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467071084 St. Catherine University School Based Health Clinic Nurse Practitioner 5045 Division Ave, White Bear Lake, MN 55110 2020-04-14
1922450618 Lisa Marie Thatcher Podiatrist 4653 White Bear Pkwy., St. Paul, MN 55110 2016-07-06
1558725598 White Bear Dentists, PC Dentist 1970 Buerkle Road, White Bear Lake, MN 55110 2016-04-06
1124486246 Julie Blaske Counselor 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 2016-02-03
1851761514 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1920 Buerkle Rd, White Bear Lake, MN 55110 2015-10-06
1821496969 Leah Eichmiller Acupuncturist 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 2014-12-05
1447672084 Ashley Rath Chiropractor 1247 Gun Club Rd., White Bear Lake, MN 55110 2014-01-16
1790121291 Advanced Medical Home Care, LLC Home Health 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 2013-05-11
1134468465 Emergency Physicians Professional Association Clinic/Center 1159 E. County Road E, Vadnais Heights, MN 55110 2013-02-06
1639444284 Rebecca Lynn Blaede Counselor 4858 Banning Avenue, White Bear Lake, MN 55110 2012-03-15
Find all providers in zip 55110

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
1912058645 Steven Kahn Psychologist 2697 East County Road E, White Bear Lake, MN 55110 2007-01-16
1942395256 Sharon Kay Doffing Psychologist 4505 White Bear Pkwy, #1800, White Bear Lake, MN 55110-3678 2006-10-03
1255431243 James S Anthony Psychologist 4444 Centerville Road, #235, White Bear Lake, MN 55127-3712 2006-09-22
1376649020 Delores A Dinzeo Psychologist 1310 E Highway 96, Suite 200, White Bear Lake, MN 55110-3483 2006-09-16
1720010366 Paul Reitman Psychologist 4663 White Bear Pkwy, White Bear Lake, MN 55110-3300 2006-07-06
1962474072 Peter James Steineck Psychologist 1310 East Highway 96, Ste 200, White Bear Lake, MN 55110 2006-02-02
1104824234 Jo Anne Harkins-craven Psychologist 1310 Highway 96 E, Suite 104c, White Bear Lake, MN 55110-3624 2005-07-12
1811370729 Sonya L Knudson Psychologist 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 2015-07-09
1386979946 Rebecca Jean Seifert Psychologist 4663 White Bear Pkwy, White Bear Lake, MN 55110-3300 2009-10-14
1841316015 Psychological Consultants of So Mn Pa Psychologist 4663 White Bear Pkwy, White Bear Lake, MN 55110-3300 2007-03-21
Find all providers in WHITE BEAR LAKE

Competitor

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City WHITE BEAR LAKE
Zip Code 55110

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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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