WILLIAM J. DOHERTY (NPI# 1922219070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922219070 |
| Entity Type | Individual |
| Full Name | WILLIAM J. DOHERTY |
| Credential | PH.D. |
| Practice Address |
821 Raymond Ave Suite 440 Saint Paul MN 55114-1503 |
| Mailing Address |
2110 Rosewood Ln S Roseville MN 55113-5325 |
| Practice Telephone | 6516429317 |
| Mailing Telephone | 6516365723 |
| Mailing Fax Number | 6516364705 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TF0000X |
Psychologist Specialization: Family |
2839 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 299 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659744019 | William Doherty | Counselor | 736 Cambridge St, Secap, Brighton, MA 02135-2907 | 2015-11-07 |
| 1629419312 | William P Doherty | Anesthesiology | 424 Savannah Rd, Lewes, DE 19958 | 2013-07-10 |
| 1801235270 | William Joseph Doherty | Dentist | 3784 Dix Hwy, Lincoln Park, MI 48146-3881 | 2013-06-19 |
| 1457498040 | William Patrick Doherty | Physical Therapist | 75 Park St, Elizabethtown, NY 12932-2300 | 2007-01-31 |
| 1669466223 | William Joseph Doherty | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-09-09 |
| Street Address |
821 RAYMOND AVE SUITE 440 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906215 | Dick D Jones | Psychologist | 821 Raymond Ave, #330, Saint Paul, MN 55114-1503 | 2005-07-19 |
| 1861874273 | Generation Psychological Services, Inc. | Psychologist | 821 Raymond Ave, Suite 325, Saint Paul, MN 55114-1503 | 2015-06-22 |
| 1285027045 | Julia Moen, LLC | Social Worker | 821 Raymond Ave, Suite 440, Saint Paul, MN 55114-1503 | 2015-03-17 |
| 1841680659 | Julia Kimberly Moen | Social Worker | 821 Raymond Ave, Suite 440, Saint Paul, MN 55114-1503 | 2015-02-01 |
| 1639588643 | Brad W Houghton Psyd Lp LLC | Point of Service | 821 Raymond Ave, Saint Paul, MN 55114-1532 | 2014-08-05 |
| 1396173126 | Kerry Mcintyre-lee | Marriage & Family Therapist | 821 Raymond Ave, Suite 240, Saint Paul, MN 55114-1503 | 2013-10-14 |
| 1669733762 | Bosak Mischke Inc. | Social Worker | 821 Raymond Ave, #300, Saint Paul, MN 55114-1525 | 2012-06-05 |
| 1336422161 | Michael Christopher Schaeffer | Social Worker | 821 Raymond Ave, Ste 440, Saint Paul, MN 55114-1525 | 2011-09-28 |
| 1679806269 | Jane L Mccampbell | Marriage & Family Therapist | 821 Raymond Ave, Suite 325, Saint Paul, MN 55114-1503 | 2009-09-14 |
| 1013158294 | Sherie Lou Bosak | Social Worker | 821 Raymond Ave, #300, Saint Paul, MN 55114-1503 | 2009-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093221129 | Terri E Bly | Psychologist | 1150 Montreal Ave Ste 107, Saint Paul, MN 55116-2393 | 2017-12-27 |
| 1427299023 | Susan De Vries | Psychologist | 570 Asbury St, Suite 310, Saint Paul, MN 55104-1849 | 2009-03-12 |
| 1952579385 | Sheila Thomas, M.a.l.p., Pllc | Psychologist | 821 Raymond Ave, Suite 270, Saint Paul, MN 55114-1503 | 2008-02-19 |
| 1730360207 | Lisa Marie Johnson | Psychologist | 2550 University Ave W, Suite 310n, Saint Paul, MN 55114-1052 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627520 | Everest Psychological Services | Psychologist | 2233 Hamline Ave N Ste 500, Roseville, MN 55113-5003 | 2020-04-13 |
| 1629213541 | Chad Thomas Lorenz | Psychologist | 1772 Steiger Lake Ln Ste 220, Victoria, MN 55386-7723 | 2008-12-05 |
| 1871749036 | Meritcare 1219 | Psychologist | 1219 S Washington Ave, Detroit Lakes, MN 56501-3905 | 2008-08-07 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| 1184197634 | Tracee C Robinson Foote-adams | Psychologist | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431-1432 | 2019-01-08 |
| 1124541644 | Lisa Jennet Trump | Psychologist | 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 | 2017-07-18 |
| 1366623324 | Christopher J Basten | Psychologist | 1206 W 96th St, Bloomington, MN 55431-2606 | 2007-11-19 |
| 1467664359 | Judy Tiesel | Psychologist | 7400 Metro Blvd, Suite 413, Edina, MN 55439-2316 | 2007-05-04 |
| 1255465803 | Douglas Carlton Williams | Psychologist | 1516 W Lake St, Suite 103, Minneapolis, MN 55408-2554 | 2007-03-15 |
| 1205982279 | Mary Woodward | Psychologist | 3345 Lexington Ave S, Suite 102, Eagan, MN 55121-2276 | 2007-01-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on WILLIAM J. DOHERTY.
| 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.