DR. GARRY ALLEN (NPI# 1093199630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093199630 |
| Entity Type | Individual |
| Full Name | DR. GARRY ALLEN |
| Credential | PSYD, LP |
| Practice Address |
2345 Ariel St North Mail Stop 13601a Maplewood MN 55109 |
| Mailing Address |
514 Saxon Dr Elko New Market MN 55054-4712 |
| Practice Telephone | 6512544793 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5643 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861772634 | Garry Edward Allen | Nurse Practitioner | 433 Edgewood Dr, Texarkana, AR 71854-0249 | 2011-08-24 |
| Street Address |
2345 ARIEL ST NORTH MAIL STOP 13601A |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| 1104173723 | Coventry Senior Living of Maplewood, LLC | Home Health | 1870 East Shore Drive, Maplewood, MN 55109 | 2012-08-14 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649596222 | Eve P. Adams | Psychologist | 2112 Millburn Avenue, Suite 102b, Maplewood, NJ 07040 | 2010-04-08 |
| 1609060284 | Monica Jeanne-marie Indart | Psychologist | One Lenox Place, Suite C, Maplewood, NJ 07040 | 2007-08-28 |
| 1538373766 | John S Loconte | Psychologist | 697 Valley Street, Suite 2-a, Maplewood, NJ 07040 | 2007-05-09 |
| 1538215728 | Sangeetha Nayak | Psychologist | 111 Dunnell Rd, 2nd Floor, Maplewood, NJ 07040-2622 | 2007-01-28 |
| 1316049703 | Louis B Schlesinger | Psychologist | 12 Tower Dr, Maplewood, NJ 07040-1008 | 2006-09-05 |
| 1730108564 | Duncan E. Walton | Psychologist | 2115 Millburn Ave., Maplewood, NJ 07040-3714 | 2006-07-19 |
| 1194775841 | Carol Rogers-tanner | Psychologist | 2399 Ariel St N Ste D, Maplewood, MN 55109-2202 | 2006-05-11 |
| 1194784512 | Kimberly O Ryan | Psychologist | 2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109-2248 | 2006-03-23 |
| 1437155801 | Ernest Boswell | Psychologist | 1478 Sterling St N, Maplewood, MN 55119-7179 | 2005-06-21 |
| 1861745176 | Matthew E Ballenthin | Psychologist | 2345 Ariel St N, Mailstop 13601a, Maplewood, MN 55109-2248 | 2012-10-24 |
| Find all providers in MAPLEWOOD | ||||
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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.