JASON T CASPILLO (NPI# 1780227736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780227736 |
Entity Type | Individual |
Full Name | JASON T CASPILLO |
Practice Address |
1900 Silver Lake Rd Nw New Brighton MN 55112-1786 |
Practice Telephone | 6514124137 |
Mailing Telephone | 6516289566 |
Mailing Fax Number | 6516280411 |
Enumeration Date | 2019-10-22 |
Last Update Date | 2019-11-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
305445 | MN | Behavioral Health & Social Service Providers |
Street Address |
1900 SILVER LAKE RD NW |
City | NEW BRIGHTON |
State | MN |
Zip Code | 55112-1786 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861492134 | Edwin Walker | Psychiatry & Neurology | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2005-07-28 |
1144833484 | Anna Marie Ricci | Counselor | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2020-08-26 |
1568086346 | Kenneth Leroy King Sr. | Student in an Organized Health Care Education/Training Program | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2020-06-08 |
1184247108 | Alissa Marie Lambrides | Counselor | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2020-05-26 |
1184247660 | Tammie Leetta Fullman | Counselor | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2020-05-19 |
1396379541 | Meredith Lawlor | Counselor | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2020-02-26 |
1154961225 | Ryan Jones | Counselor | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2020-01-07 |
1902440944 | Olufemi Michael Adetunji | Nurse Practitioner | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2019-11-02 |
1174166672 | Williametta Augusta Wells | Counselor | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2019-10-28 |
1043866163 | Amanda Louise Wegner | Counselor | 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 | 2019-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
Find all providers in zip 55112 |
Taxonomy Code | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659773802 | Rashid Williams | Psychologist | 1000 3rd Ave, New Brighton, PA 15066-2012 | 2014-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999546 | Serenity Behavioral Health & Wellness, LLC | Psychologist | 18318 Lansford Path, Lakeville, MN 55044-4955 | 2020-07-17 |
1285290072 | Summit Clinics Pllc | Psychologist | 2115 County Road D E Ste C, Maplewood, MN 55109-5353 | 2019-05-16 |
1013357797 | Kari Michelle-ferber Maynard | Psychologist | 520 2nd Ave Se, Pine City, MN 55063-1505 | 2013-06-26 |
1982917415 | Jeffrey Hill | Psychologist | 1056 Centerville Cir, Vadnais Heights, MN 55127-6360 | 2010-07-26 |
1053631622 | Heather J Johnson | Psychologist | 4601 Excelsior Blvd Ste 411, St Louis Park, MN 55416-4977 | 2010-06-07 |
1144495391 | David Edward Schlack | Psychologist | 1326 East Ripley Street, Litchfield, MN 55355 | 2008-04-29 |
1104974674 | Susan Marie Hoisington | Psychologist | 2120 Park Ave, Minneapolis, MN 55404-3378 | 2007-01-08 |
1902902638 | Sharon Stein Mcnamara Ed D Psychology Inc | Psychologist | 4700 Lexington Ave N Ste B1a, Shoreview, MN 55126-5867 | 2006-09-16 |
1235240284 | Ann Virginia Hobbick | Psychologist | 7590 Lyric Lane Ne, Unity Hosptial, Fridley, MN 55432 | 2006-08-31 |
1942221080 | Innovative Psychological Consultants, LLC | Psychologist | 7372 Kirkwood Ct, Maple Grove, MN 55369-5202 | 2006-07-22 |
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City | NEW BRIGHTON |
Zip Code | 55112 |
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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.