MICHAEL DAVID BRUNNER (NPI# 1093794349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093794349 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID BRUNNER |
| Credential | PHD |
| Practice Address |
445 Etna St Saint Paul MN 55106-5857 |
| Practice Telephone | 6512544804 |
| Mailing Telephone | 6512544804 |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP4417 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 175177800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427560333 | Michael Brunner | Pharmacist | 740 S Limestone Rm J134, Lexington, KY 40536-0001 | 2017-11-01 |
| 1619195914 | Michael Barry Brunner | Pharmacist | 234 W Main Street, Bellevue, OH 44811 | 2007-04-23 |
| 1124161484 | Michael C Brunner | Radiology | 5040 Lake Mendota Dr, Madison, WI 53705-1305 | 2007-02-15 |
| 1134229701 | Michael James Brunner | Dentist | 315 S Howell St, Pinckney, MI 48169-9904 | 2006-09-24 |
| 1841284825 | Michael Paul Brunner | Chiropractor | 7044 Owensmouth Ave, Canoga Park, CA 91303-2005 | 2005-09-07 |
| 1972144368 | Michael Brunner | Behavior Technician | 8019 Ne 13th Ave, Vancouver, WA 98665-9604 | 2019-10-07 |
| 1407235138 | Michael Brunner | Physical Therapist | 111 Riverfront, Winona, MN 55987-3456 | 2015-05-27 |
| 1215166319 | Michael Brunner | Family Medicine | 1515 E Lake St, Attn: Abmg Primary Care, Hanover Park, IL 60133-4869 | 2009-07-09 |
| 1659545440 | Michael Patrick Brunner | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2008-04-14 |
| 1003947292 | Michael Brunner | Dentist | 606 Center St, Healdsburg, CA 95448-3603 | 2007-03-08 |
| Street Address |
445 ETNA ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-5857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932325735 | Charles Joseph Mishek | Counselor | 445 Etna St, Suite 55, Saint Paul, MN 55106-5857 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161220 | Jeffrey Paul Olsen | Psychologist | 2275 Youngman Ave Ste 204, Saint Paul, MN 55116-3053 | 2019-08-30 |
| 1205496890 | Xenia Ewing | Psychologist | 1611 County Road B W Ste 214, Saint Paul, MN 55113-5021 | 2019-06-17 |
| 1316432867 | Lewis M Rambo | Psychologist | 624 Selby Ave Ste 2, Saint Paul, MN 55104-6614 | 2018-06-27 |
| 1215450622 | Margaret Kellogg, Inc | Psychologist | 241 Cleveland Ave S Ste 1b, Saint Paul, MN 55105-1255 | 2017-07-18 |
| 1104361971 | Ruth Markowitz Ma Lp | Psychologist | 1599 Selby Ave Ste 107, Saint Paul, MN 55104-6263 | 2017-01-03 |
| 1144624636 | Martin J. Schoen, Psy.d., L.L.C. | Psychologist | 2096 Fairways Ln, Saint Paul, MN 55113-3813 | 2014-10-13 |
| 1770863607 | Stacy Coleman Symons | Psychologist | 7582 Currell Blvd Ste 108, Saint Paul, MN 55125-8210 | 2011-08-23 |
| 1427364355 | Vanessa Rachelle Rempel | Psychologist | 241 Cleveland Ave S Ste B6, Saint Paul, MN 55105-1255 | 2010-08-30 |
| 1295060770 | Joseph Vincent Bailey | Psychologist | 1798 Hewitt Ave, Saint Paul, MN 55104-1129 | 2009-10-16 |
| 1205061785 | Rebecca Sarah White | Psychologist | 180 5th St E, Saint Paul, MN 55101-2672 | 2009-05-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
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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.