DAVID JUDSON DECKER (NPI# 1598704082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598704082 |
| Entity Type | Individual |
| Full Name | DAVID JUDSON DECKER |
| Credential | MA, LP |
| Practice Address |
1619 Dayton Ave Suite 321 Saint Paul MN 55104-6206 |
| Practice Telephone | 6516464325 |
| Practice Fax Number | 6516464325 |
| Mailing Telephone | 6516464325 |
| Mailing Fax Number | 6516464325 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP 0342 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124332093 | David Q Decker | Pharmacist | 515 Cherokee Rdg, Athens, GA 30606-1825 | 2010-08-03 |
| 1215983499 | David Mark Decker | Physician Assistant | 700 G St, Conocophillips Tower Kuparuk Medical Nsk 31, Anchorage, AK 99501 | 2006-05-26 |
| 1548653462 | David Taylor Decker | Chiropractor | 1351 Kuser Rd, Suite 4, Hamilton, NJ 08619-3824 | 2015-03-17 |
| 1477809564 | David I. Decker | Speech-Language Pathologist | 500 W Court St, Kankakee, IL 60901-3661 | 2012-07-26 |
| 1245508902 | David Charles Decker | Pharmacist | 6920 Hall St, Holland, OH 43528-9485 | 2011-12-09 |
| 1003938903 | David Colin Decker | Pharmacist | 2450 S Reynolds Rd, Toledo, OH 43614-1419 | 2007-04-04 |
| 1659419612 | David Decker | Technician | 7700 S Broadway, Littleton, CO 80122-2602 | 2007-02-02 |
| 1548344633 | David Andrew Decker | Psychiatry & Neurology | 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 | 2006-10-25 |
| 1801856711 | David A Decker | Internal Medicine | 2501 N Orange Ave, Suite 249, Orlando, FL 32804-4603 | 2006-03-24 |
| 1063490043 | David H Decker | Psychiatry & Neurology | 710 N 8th St, Springfield, IL 62702-6324 | 2006-01-09 |
| Street Address |
1619 DAYTON AVE SUITE 321 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134112378 | Mary J Higgins | Advanced Practice Midwife | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6206 | 2005-08-23 |
| 1740721778 | Stephen Platt | Counselor | 1619 Dayton Ave, Saint Paul, MN 55104-6206 | 2017-03-09 |
| 1669924320 | Erin Morgan Lmft, L.L.C. | Marriage & Family Therapist | 1619 Dayton Ave, Suite 201, Saint Paul, MN 55104-6206 | 2016-10-28 |
| 1174992457 | Marit Kyllo | Marriage & Family Therapist | 1619 Dayton Ave, Suite 303, Saint Paul, MN 55104-6206 | 2015-09-17 |
| 1043608706 | Heather Marie Holt | Social Worker | 1619 Dayton Ave, Ste 112b, Saint Paul, MN 55104-6206 | 2015-01-05 |
| 1003258385 | Erin Morgan | Marriage & Family Therapist | 1619 Dayton Ave, #203, Saint Paul, MN 55104-6206 | 2013-07-26 |
| 1427398973 | Cris A Oldenburg | Chiropractor | 1619 Dayton Ave, #327, Saint Paul, MN 55104-6206 | 2013-02-20 |
| 1205111622 | Kathleen Marie Kroska | Psychologist | 1619 Dayton Ave, Saint Paul, MN 55104-6206 | 2011-10-17 |
| 1134448590 | Noah Julian Simcox | Social Worker | 1619 Dayton Ave, Ste 112, Saint Paul, MN 55104-6276 | 2010-05-25 |
| 1104153568 | Erin Stamets | Nurse Practitioner | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6206 | 2009-11-05 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669992186 | Stephanie Bruss | Psychologist | 821 Raymond Ave # 130c, Saint Paul, MN 55114-1503 | 2017-06-26 |
| 1679977326 | Jennifer D. Karel | Psychologist | 1123 Grand Ave Ste 301, Saint Paul, MN 55105-2629 | 2014-10-09 |
| 1699038265 | Minnesota Organization On Fetal Alcohol Syndrome (mofas) | Psychologist | 2233 University Ave W Ste 395, Saint Paul, MN 55114-1600 | 2012-06-19 |
| 1821356098 | Mainhia Khang | Psychologist | 393 Dunlap St N Ste 105, Saint Paul, MN 55104-4211 | 2012-04-25 |
| 1609153378 | Quo Psychotherapy, P.a. | Psychologist | 821 Raymond Ave Ste 230c, Saint Paul, MN 55114-1525 | 2011-11-09 |
| 1831486216 | Bonnie Sue Mcmillin | Psychologist | 457 Portland Ave, 3, Saint Paul, MN 55102-2499 | 2011-07-06 |
| 1285935064 | Sarah L. Hart, Ph.d., LLC | Psychologist | 241 Cleveland Ave S Ste P, Saint Paul, MN 55105-1208 | 2010-11-09 |
| 1003149717 | Tamarind Knutson | Psychologist | 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298 | 2009-09-13 |
| 1659604874 | Andrea Elizabeth Anderson | Psychologist | 2383 University Ave W Ste 200, U.S. Bank Building, Second Floor, Saint Paul, MN 55114-1603 | 2009-09-08 |
| 1639307622 | Nicole Heffron, LLC | Psychologist | 889 Grand Ave, Suite 202, Saint Paul, MN 55105-3008 | 2009-06-29 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on DAVID JUDSON DECKER.
| 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.