MR. STEVEN PETER DAFFINRUD


Address: 600 25th Ave S, Roosevelt Office Park Suite 109, Saint Cloud, MN 56301-4841
Phone: 3202550343

MR. STEVEN PETER DAFFINRUD (NPI# 1801878426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801878426
Entity Type Individual
Full Name MR. STEVEN PETER DAFFINRUD
Credential MA LP
Practice Address 600 25th Ave S
Roosevelt Office Park Suite 109
Saint Cloud
MN 56301-4841
Practice Telephone 3202550343
Practice Fax Number 3206540318
Mailing Telephone 3202550343
Mailing Fax Number 3206540318
Enumeration Date 2005-11-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP3707 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN U CARE 116812 01
MN BHP 3041301 01
UBH 625T442 01
MN 7144245 05
MN BCBS BLUE PLUS COMPCARE 314K4DA 01
MMSI S01906459 01

Office Location

Street Address 600 25TH AVE S
ROOSEVELT OFFICE PARK SUITE 109
City SAINT CLOUD
State MN
Zip Code 56301-4841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902888555 Lori Ann Nelson Psychologist 600 25th Ave S, Ste 109, Saint Cloud, MN 56301-4841 2005-11-18
1043728751 Gayle Neuerburg LLC Community/Behavioral Health 600 25th Ave S, Saint Cloud, MN 56301-4841 2018-01-16
1669918512 Lion Community Enrichment Programs, Inc. Community/Behavioral Health 600 25th Ave S, Suite #209, Saint Cloud, MN 56301-4841 2017-01-17
1649631656 Jayne Lokken LLC Psychologist 600 25th Ave S, Suite 109, Saint Cloud, MN 56301-4841 2016-03-18
1124366828 Samantha J Stueve Case Manager/Care Coordinator 600 25th Ave S, Saint Cloud, MN 56301-4841 2013-01-30
1366790768 Jessica Treptau Registered Nurse 600 25th Ave S, Saint Cloud, MN 56301-4841 2012-08-16
1306123187 Elizabeth A. Buhl, Psy.d., Lp, LLC Community/Behavioral Health 600 25th Ave S, Suite 109 Roosevelt Office Park, Saint Cloud, MN 56301-4841 2011-11-08
1730338013 Lisa R Jensen Social Worker 600 25th Ave S, Suite 109, Saint Cloud, MN 56301-4841 2008-09-11
1508050451 Thorson Enterprise, Inc Home Health 600 25th Ave S, Suite 210, Saint Cloud, MN 56301-4841 2007-09-04
1700086782 Mcpherson Counseling Services,inc Social Worker 600 25th Ave S, Suite 109, Saint Cloud, MN 56301-4820 2007-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013528207 Stephen Sean Jenkins Psychologist 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 2020-08-12
1316453442 Amber Grengs Behavior Technician 3721 23rd St S Ste 201, Saint Cloud, MN 56301 2017-12-27
1124532999 Ashley Aune Lewandowski Chiropractor 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 2017-11-30
1962923680 Inspired By You Home Care, LLC Home Health 2700 1st Street N, Suite 202, St Cloud, MN 56301 2017-07-03
1487189569 Brett Finberg Pharmacy Technician 141 33rd Ave South, Saint Cloud, MN 56301 2017-04-26
1629513221 Robert Schug Pharmacy Technician 141 33rd Ave S, Saint Cloud, MN 56301 2017-01-05
1649726910 Rebecca Hoffman Pllc Specialist 3400 1st Street N, Suite 300, St. Cloud, MN 56301 2016-08-28
1558728600 Language Partners Interpreter 400 1st St S, Suite 600, St. Cloud, MN 56301 2016-01-20
1679981856 Quality Homecare Services Inc Home Health 3450 W Germain St, Ste 206, St Cloud, MN 56301 2014-07-31
1063759546 Grand St Paul Cvs, LLC Durable Medical Equipment & Medical Supplies 2420 Division St, St. Cloud, MN 56301 2013-01-03
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528536158 Joy Marie Sales Psychologist 1900 Centracare Cir Ste 2475, Saint Cloud, MN 56303-5000 2018-11-13
1346795077 Elizabeth Flynn, Pllc Psychologist 3400 1st St N Ste 300, Saint Cloud, MN 56303-1927 2016-08-23
1861673030 John R Krueger Psychologist 157 Roosevelt Rd Ste 300, Saint Cloud, MN 56301-5481 2007-11-16
1376753418 Kristine Marie Wainright-tadych Psychologist 1506 33rd Ave N, Saint Cloud, MN 56303-1525 2007-05-23
1982767554 Susan Hill Psychologist 1712 7th Ave S, Saint Cloud, MN 56301-5711 2006-12-18
1134219165 Anne Cecile Leonard Psychologist 22 Wilson Ave Ne, Suite Number 110, Saint Cloud, MN 56304-0440 2006-10-13
1902888555 Lori Ann Nelson Psychologist 600 25th Ave S, Ste 109, Saint Cloud, MN 56301-4841 2005-11-18
1730622192 Kristin Jurek Psychologist 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2016-12-02
1902265721 Nicole Hofman Wilke Psychologist 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2016-02-22
1568869667 Rachel Petersen Psychologist 911 18th St N, Saint Cloud, MN 56303-1203 2014-12-04
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Competitor

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City SAINT CLOUD
Zip Code 56301

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Dataset Information

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.

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