DR. JOHN SHERMAN MCKENZIE (NPI# 1972658995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972658995 |
| Entity Type | Individual |
| Full Name | DR. JOHN SHERMAN MCKENZIE |
| Credential | PSY.D., L.P. |
| Practice Address |
3253 19th St Nw Suite #1 Rochester MN 55901-6786 |
| Mailing Address |
904 Plymouth Ln Nw Rochester MN 55901-3447 |
| Practice Telephone | 5075297625 |
| Practice Fax Number | 5075297625 |
| Mailing Telephone | 5075297625 |
| Mailing Fax Number | 5075297625 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP4456 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598008047 | John Rodrick Mckenzie | Pharmacist | 5452 Havenhurst Cir, Rocklin, CA 95677-4450 | 2013-04-03 |
| 1154356251 | John Douglas Mckenzie | Chiropractor | 7121 W Bell Rd, Suite 220, Glendale, AZ 85308-8555 | 2006-07-11 |
| 1144413600 | John L Mckenzie | Technician, Other | 720 Wood St, Eureka, CA 95501-4413 | 2007-08-19 |
| 1215130117 | John Luke Mckenzie | Physical Therapist | 7277 Hawkins View Drive, Fort Worth, TX 76132-3921 | 2007-06-07 |
| 1366547846 | John Marshall Mckenzie | Family Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-09-13 |
| 1245248285 | John C Mckenzie | Physical Therapist | 390 N Broadway, Suite 400, Pennsville, NJ 08070 | 2006-08-04 |
| 1003853748 | John D Mckenzie Jr. | Specialist | 1600 W Dempster St, Park Ridge, IL 60068-1109 | 2006-06-01 |
| 1053371583 | John D Mckenzie | Radiology | 3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252 | 2006-03-27 |
| 1366422685 | John Paul Mckenzie IIi | Internal Medicine | 660 W Broadway, Glendale, CA 91204-1008 | 2006-01-20 |
| Street Address |
3253 19TH ST NW SUITE #1 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-6786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215003231 | Susan Brust LLC | Clinic/Center | 3253 19th St Nw, Suite 1, Rochester, MN 55901-6786 | 2006-11-28 |
| 1225469000 | Andrea Thomas | Counselor | 3253 19th St Nw, Suite 1, Rochester, MN 55901-6798 | 2013-12-04 |
| 1679871586 | Kathleen Francette Flugel Colle | Clinical Nurse Specialist | 3253 19th St Nw, Rochester, MN 55901-6798 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267155 | Wisconsin Lutheran Child & Family Service,inc. | Psychologist | 3040 Stonehedge Dr Ne, Rochester, MN 55906-5409 | 2018-02-28 |
| 1346791381 | Dr Patricia Price LLC | Psychologist | 300 1st Ave Nw Ste 232, Rochester, MN 55901-2830 | 2016-10-14 |
| 1083055354 | Joellen Popma | Psychologist | 165 Meadowbrook Rd, Rochester, NY 14620-3031 | 2013-07-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1518116243 | Ronke Lattimore Tapp | Psychologist | 738 Library Road, 3rd Flr University Counseling Center U of Rochester, Rochester, NY 14627-0356 | 2008-09-18 |
| 1366596678 | Lois L.a. Shub | Psychologist | 1425 20th St Sw, Rochester, MN 55902-2217 | 2007-01-23 |
| 1467540088 | James Larry Smith | Psychologist | 724 First Ave. Sw, Ste 2, Rochester, MN 55902-3356 | 2006-10-10 |
| 1346209012 | Sharon Lee Falasco | Psychologist | 448 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-03-21 |
| 1831565571 | Yu-ying Lin | Psychologist | 440 White Spruce Blvd, Rochester, NY 14623-1608 | 2015-08-17 |
| 1982013744 | Megan Lytle-flint | Psychologist | 300 Crittenden Blvd Box Psych, Rochester, NY 14642-0001 | 2014-08-06 |
| Find all providers in ROCHESTER | ||||
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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.