SHOSHANA CENTER FOR REPRODUCTIVE HEALTH PSYCHOLOGY, PLLC (NPI# 1689120123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689120123 |
| Entity Type | Organization |
| Organization Name | SHOSHANA CENTER FOR REPRODUCTIVE HEALTH PSYCHOLOGY, PLLC |
| Other Organization Name | SHOSHANA CENTER |
| Practice Address |
475 Cleveland Ave N Suite 200 Saint Paul MN 55104-5031 |
| Mailing Address |
1836 Iglehart Ave Saint Paul MN 55104-3522 |
| Practice Telephone | 6516455504 |
| Practice Fax Number | 6516455517 |
| Mailing Telephone | 6514318506 |
| Mailing Fax Number | 6516038528 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | DR. DEBORAH ELLEN RICH (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6516455504 |
| Authorized Official Credential | PHD, LP, CPLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0004X |
Psychologist Specialization: Health |
LP1281 | MN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Shoshana Center | Doing Business As Name - Organization |
| Street Address |
475 CLEVELAND AVE N SUITE 200 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417109026 | Community Connections Partnership | Day Training, Developmentally Disabled Services | 475 Cleveland Ave N, Suite 101, Saint Paul, MN 55104-5031 | 2008-10-14 |
| 1811363252 | The Family Development Center | Marriage & Family Therapist | 475 Cleveland Ave N, Suite 316, Saint Paul, MN 55104-5031 | 2015-08-20 |
| 1114316759 | Salina Renninger | Psychologist | 475 Cleveland Ave N, #200, Saint Paul, MN 55104-5031 | 2015-01-20 |
| 1780015511 | The Family Development Center, LLC | Marriage & Family Therapist | 475 Cleveland Ave N, Suite 316, Saint Paul, MN 55104-5031 | 2013-12-04 |
| 1255583860 | Cooperating Community Programs, Inc | Case Management | 475 Cleveland Ave N, Suite 101, Saint Paul, MN 55104-5031 | 2008-10-14 |
| 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 | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194417 | Vayda Mental Health Collaborative Pllc | Psychologist | 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-5869 | 2020-08-16 |
| 1306452727 | Kate Finn | Psychologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-21 |
| 1790176055 | Sarah Anne Gillis Eckhardt | Psychologist | 910 E 26th St, Suite 410, Minneapolis, MN 55404-4526 | 2015-02-09 |
| 1407129786 | Brad Ryan Nederostek | Psychologist | 1300 S 2nd St, Suite 180, Minneapolis, MN 55454-1075 | 2012-02-16 |
| 1770728230 | Mn Integrative Psychology and Psychiatry, Inc. | Psychologist | 1409 Willow St, Suite 400, Minneapolis, MN 55403-2269 | 2008-12-11 |
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.