DR. JOHN MATTHEW HEALY (NPI# 1659580330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659580330 |
| Entity Type | Individual |
| Full Name | DR. JOHN MATTHEW HEALY |
| Credential | PHD LP |
| Practice Address |
3100 W Lake St Ste 210 Minneapolis MN 55416-4597 |
| Mailing Address |
3932 Aldrich Ave So Minneapolis MN 55409 |
| Practice Telephone | 6129256033 |
| Practice Fax Number | 6129258496 |
| Mailing Telephone | (612) 296-3700 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4567 | MN | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LP4567 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 808S6HE | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1155 Ford Rd Ste B, St Louis Park, MN 554261115 | 9523781800 | 9523781714 |
| 3133 Hennepin Ave So, Minneapolis, MN 55408 | 6122963700 | 9522857074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871783712 | John P Healy | Physical Therapy Assistant | 9644 Olde Park Ct, Tipp City, OH 45371-8135 | 2007-07-26 |
| 1710055678 | John Carmichael Healy | Social Worker | 114 Lattimore Ln, Durham, NC 27713-2314 | 2006-11-30 |
| 1902202369 | John Healy | Occupational Therapist | 95 Laurel St, Greenfield, MA 01301-3106 | 2014-11-13 |
| 1649407933 | John Albert Healy | Emergency Medicine | 704 Old Montgomery Rd, Conroe, TX 77301-2740 | 2009-06-15 |
| 1194996769 | John Bernard Healy | Radiology | 800 Mahoning St, Lehighton, PA 18235-1246 | 2008-03-21 |
| 1851444574 | John A Healy | Psychologist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2007-01-18 |
| 1306908496 | John J Healy | Dietitian, Registered | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-12-14 |
| 1376550970 | John F Healy | Radiology | 200 W Arbor Dr, Mail Code 9114, San Diego, CA 92103-9001 | 2006-08-03 |
| 1780603092 | John J Healy | Pediatrics | 616 Boston Post Rd, Sudbury, MA 01776-3376 | 2006-07-18 |
| 1366425480 | John Patrick Healy | Anesthesiology | 45 Ne Loop 410, Suite 900, San Antonio, TX 78216-5832 | 2005-11-22 |
| Street Address |
3100 W LAKE ST STE 210 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851365860 | Michael Hoiland | Psychologist | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2006-02-15 |
| 1053817262 | Cathlin J Mahal | Social Worker | 3100 W Lake St Ste 210, Minneapolis, MN 55416-5427 | 2018-04-05 |
| 1659874782 | Ashley Marie O'hearn | Counselor | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2018-03-15 |
| 1437652518 | Emily J Laconic | Social Worker | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2018-03-14 |
| 1225536196 | Krista Colleen Abbott | Counselor | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2018-01-25 |
| 1407354681 | Philip Ryan Johnson | Counselor | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2018-01-23 |
| 1417464033 | Jennifer Lynn Urbach | Counselor | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2018-01-04 |
| 1700391034 | Rebekah J Elling | Social Worker | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2017-12-08 |
| 1649783341 | Amber Lee Pearson | Social Worker | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2017-11-16 |
| 1750894598 | Ann-marie J Stone | Marriage & Family Therapist | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2017-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1831740216 | Seth Gordon Disner | Psychologist | 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 | 2019-09-26 |
| 1366090763 | Healing Therapy LLC | Psychologist | 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 | 2019-08-28 |
| 1891340469 | Karin Fisher | Psychologist | 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 | 2019-08-09 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1689030231 | Oliver Ross Psychology and Consulting LLC | Psychologist | 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 | 2016-01-13 |
| 1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
| 1841664190 | Lakes Wellness Center LLC | Psychologist | 3248 Stevens Ave, Minneapolis, MN 55408-3214 | 2015-11-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on DR. JOHN MATTHEW HEALY.
| 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.