DR. LAURA SULLIVAN EHLERT (NPI# 1558469353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558469353 |
| Entity Type | Individual |
| Full Name | DR. LAURA SULLIVAN EHLERT |
| Credential | PSY.D., LP |
| Practice Address |
12940 Harriet Ave S Suite 250 Burnsville MN 55337-2680 |
| Practice Telephone | 6122841557 |
| Practice Fax Number | 9524323826 |
| Mailing Telephone | 6122841557 |
| Mailing Fax Number | 9524323826 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP 5415 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP 5415 | MN | Behavioral Health & Social Service Providers |
| Street Address |
12940 HARRIET AVE S SUITE 250 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962091 | William Nichols | Podiatrist | 12940 Harriet Ave S, Burnsville, MN 55337-2680 | 2005-06-20 |
| 1578015244 | Debra Miller | Hearing Instrument Specialist | 12940 Harriet Ave S, Burnsville, MN 55337-2680 | 2016-10-28 |
| 1962838706 | On-site Podiatry, Inc. | Podiatrist | 12940 Harriet Ave S, Ste 230, Burnsville, MN 55337-2680 | 2013-09-25 |
| 1588894802 | Neve Inc | Audiologist-Hearing Aid Fitter | 12940 Harriet Ave S, Ste 110, Burnsville, MN 55337-2680 | 2009-07-21 |
| 1700054376 | Plus Center Inc. | Day Training, Developmentally Disabled Services | 12940 Harriet Ave S, Suite 215, Burnsville, MN 55337-2680 | 2008-02-15 |
| 1609095629 | Child Psychology Services, LLC | Community/Behavioral Health | 12940 Harriet Ave S, Suite 250, Burnsville, MN 55337-2680 | 2007-04-25 |
| 1396864658 | Karlynn Lee Benson | Chiropractor | 12940 Harriet Ave S, Suite 240, Burnsville, MN 55337-2680 | 2007-03-28 |
| 1316084270 | Piccolino Psychological Services, Pa | Psychologist | 12940 Harriet Ave S, Suite 250, Burnsville, MN 55337-2680 | 2007-01-31 |
| 1225123946 | Joy Pamela Piccolino | Psychologist | 12940 Harriet Ave S, Suite 250, Burnsville, MN 55337-2680 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871853820 | Lucy Childs Olson | Psychologist | 1664 Cliff Rd E, Burnsville, MN 55337-1300 | 2012-05-24 |
| 1780944165 | Life Counseling LLC | Psychologist | 1664 Cliff Rd E, Burnsville, MN 55337-1300 | 2012-05-21 |
| 1861725905 | Nicole Marie Schumann | Psychologist | 12400 Portland Ave Ste 120, Burnsville, MN 55337-6817 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405202 | Q Collective, LLC | Psychologist | 3413 Wilshire Pl Ne, Minneapolis, MN 55418-1447 | 2019-03-09 |
| 1043714199 | Julianna Sapienza | Psychologist | 2545 Chicago Ave Ste 217, Minneapolis, MN 55404-4556 | 2018-03-22 |
| 1942758701 | Dana Hoehn | Psychologist | 4636 Lyndale Ave S, Lower Unit, Minneapolis, MN 55419-5302 | 2016-09-21 |
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1861737041 | Decisionpoint Behavioral Health, Inc. | Psychologist | 206 S Broadway, Suite 411a, Rochester, MN 55904-6502 | 2012-11-29 |
| 1063725166 | Thomas Robert Lutz | Psychologist | 1125 Ramsey St, Hastings, MN 55033-2811 | 2010-07-17 |
| 1366755597 | Kristin L Ballard | Psychologist | 4005 W 65th St Ste 110, Edina, MN 55435-1700 | 2010-07-16 |
| 1316180011 | Brenda Diane Brant | Psychologist | 18473 97th Pl N, Maple Grove, MN 55311-1368 | 2009-04-09 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| 1710196522 | Bill J Duke | Psychologist | 420 Center Ave Ste 7, Moorhead, MN 56560-1962 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.