MR. PATRICK MICHAEL MCDONALD (NPI# 1710266481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710266481 |
| Entity Type | Individual |
| Full Name | MR. PATRICK MICHAEL MCDONALD |
| Credential | L.A.D.C. |
| Practice Address |
2055 White Bear Ave N Maplewood MN 55109-3716 |
| Mailing Address |
2275 Henry St N North Saint Paul MN 55109-3337 |
| Practice Telephone | 6512090560 |
| Mailing Telephone | 6512782894 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 302376 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548423031 | Patrick R. Mcdonald | Podiatrist | 600 Plaza Ct. C, East Stroudsburg, PA 18301 | 2008-07-06 |
| 1730237819 | Patrick Ryan Mcdonald | Technician/Technologist | 300 S Roosevelt Dr Ste 4, Seaside, OR 97138-6799 | 2007-01-08 |
| 1780184861 | Patrick Jon Mcdonald | Physician Assistant | 834 Mulberry Dr, Lewisville, TX 75067-5817 | 2018-02-15 |
| 1215284815 | Patrick Matthew Mcdonald | Nurse Practitioner | 135 N Parke St, Aberdeen, MD 21001-2428 | 2012-08-14 |
| 1437292117 | Patrick J Mcdonald | Social Worker | 7025 Hickman Rd, Suite 8, Des Moines, IA 50322-4843 | 2007-02-14 |
| 1811080476 | Patrick Edward Mcdonald | Psychiatry & Neurology | 1101 Summit Rd, Cincinnati, OH 45237 | 2006-10-02 |
| 1346291093 | Patrick Mcdonald | Internal Medicine | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-05-15 |
| Street Address |
2055 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588833271 | Phoenix Adolescent Outpatient Treatment | Community/Behavioral Health | 2055 White Bear Ave N, Maplewood, MN 55109-3716 | 2008-02-27 |
| 1770017923 | Steven Mark Blazing Jr. | Social Worker | 2055 White Bear Ave N, Maplewood, MN 55109-3716 | 2017-04-14 |
| 1568749448 | Hope Michelle Carlson | Counselor | 2055 White Bear Ave N, Maplewood, MN 55109-3716 | 2011-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404294 | Saby Cevallos | Counselor | 71 Hilton Ave, Maplewood, NJ 07040-2910 | 2018-04-12 |
| 1568828051 | Kathryn Stinson | Counselor | 7346 Manchester Ave, Suite 202, Maplewood, MO 63143 | 2016-01-13 |
| 1508243908 | Jacques Hryshko | Counselor | 117 Hilton Ave, Maplewood, NJ 07040-3217 | 2015-05-05 |
| 1811256332 | Susan Ignazito-wilhelm | Counselor | 3134 Sutton Blvd, Maplewood, MO 63143-3910 | 2012-05-04 |
| 1386284065 | Cynthia Susan Rohlfing Dodson | Counselor | 2814 Sutton Blvd, Maplewood, MO 63143-3010 | 2020-01-10 |
| 1790208999 | Rashana Felice Brown | Counselor | 2130 Millburn Avenue, Suite D-1, Maplewood, NJ 07040 | 2017-07-19 |
| 1952839177 | Maggie Goodwin | Counselor | 3134 Sutton Blvd, Maplewood, MO 63143-3910 | 2017-06-01 |
| 1366845240 | Rachael Carr | Counselor | 3134 Sutton Blvd, Maplewood, MO 63143-3910 | 2014-10-06 |
| 1265841803 | Rebekah May Larson | Counselor | 3134 Sutton Blvd, Maplewood, MO 63143-3910 | 2014-08-07 |
| 1891034286 | Robin G. Davenport | Counselor | 697 Valley St, Maplewood, NJ 07040-2641 | 2013-02-05 |
| Find all providers in MAPLEWOOD | ||||
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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.