DR. JOEL AUGUSTINE SCHIRVAR (NPI# 1073593620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073593620 |
| Entity Type | Individual |
| Full Name | DR. JOEL AUGUSTINE SCHIRVAR |
| Credential | PYSD LP |
| Practice Address |
1811 Weir Dr Suite 270 Woodbury MN 55125-2272 |
| Mailing Address |
1900 Silver Lake Rd Nw 110 New Brighton MN 55112-1786 |
| Practice Telephone | 6517149646 |
| Practice Fax Number | 6517149647 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 2179-057 | WI | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | LP3855 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 308222900 | 05 |
| Street Address |
1811 WEIR DR SUITE 270 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878398 | Janet Smallidge | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2020-10-14 |
| 1275001372 | Victoria Lynn Reeck | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2018-11-06 |
| 1407396567 | Donald Handlang | Counselor | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2017-03-07 |
| 1215476593 | Holly M Pickard | Counselor | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2017-02-19 |
| 1720533342 | Emunah Arak Rankin | Nurse Practitioner | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-08-24 |
| 1235682683 | Linda Gail Olson | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2016-08-02 |
| 1003268293 | Stephanie Odegard | Counselor | 1811 Weir Dr, Sutie 270, Woodbury, MN 55125-2272 | 2016-07-12 |
| 1881046282 | Lynn Renee Carlson | Social Worker | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-07-08 |
| 1467809624 | Benjamin Dieffenbach | Social Worker | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-05-18 |
| 1255795969 | Jennifer Czischke | Social Worker | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821236449 | Nancy Ann Binford | Clinical Neuropsychologist | 2042 Wooddale Dr Ste 130, Woodbury, MN 55125-4398 | 2009-02-04 |
| 1275666158 | Edwin Schmierer | Clinical Neuropsychologist | 280 Crossways Park Drive, Preaschool Development Program, Woodbury, NY 11797 | 2007-03-13 |
| 1619448792 | Carolyn Geba | Clinical Neuropsychologist | 135 S Broad St, Woodbury, NJ 08096-2441 | 2018-12-16 |
| 1578540175 | Laura Mcdaniels | Clinical Neuropsychologist | 1789 Woodlane Dr, Suite C, Woodbury, MN 55125-3910 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302228 | Jsr Neuropsychological Services Pllc | Clinical Neuropsychologist | 3209 W 76th St Ste 207, Edina, MN 55435-5246 | 2020-10-09 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1013557057 | Erik De Water | Clinical Neuropsychologist | 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 | 2020-01-07 |
| 1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
| 1285118687 | Chimei M Lee | Clinical Neuropsychologist | 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 | 2018-09-20 |
| 1861990012 | Susan Mcpherson Phd Abpp Lp LLC | Clinical Neuropsychologist | 6550 York Ave S Ste 419, Edina, MN 55435-2335 | 2018-01-23 |
| 1609399153 | Sheryl Jayne Pleiss | Clinical Neuropsychologist | 6640 Shady Oak Rd Ste 375, Eden Prairie, MN 55344-7834 | 2017-07-17 |
| 1598204869 | Adam Piccolino | Clinical Neuropsychologist | 11800 Singletree Ln Ste 203, Eden Prairie, MN 55344-5397 | 2017-02-19 |
| 1770832875 | Allen Stock | Clinical Neuropsychologist | 3320 Walnut Grove Ln N, Plymouth, MN 55447-1026 | 2012-09-05 |
| 1962750026 | Paul Marshall LLC | Clinical Neuropsychologist | 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 | 2012-08-21 |
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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.