DR. LISA EILEEN LOVELACE (NPI# 1104090646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104090646 |
| Entity Type | Individual |
| Full Name | DR. LISA EILEEN LOVELACE |
| Credential | PSY.D. |
| Practice Address |
4300 Edgewood Dr Ne Saint Michael MN 55376-4588 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7637444000 |
| Mailing Telephone | 6122621166 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP5379 | MN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
017260 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912076274 | Lisa Marie Lovelace | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604 | 2006-11-08 |
| Street Address |
4300 EDGEWOOD DR NE |
| City | SAINT MICHAEL |
| State | MN |
| Zip Code | 55376-4588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572099 | Azra Durakovic | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-01-16 |
| 1841661824 | Jennifer Poethke | Physician Assistant | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2015-10-15 |
| 1184092785 | Emily Jo Walker | Physician Assistant | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2015-09-14 |
| 1144618885 | Jenna Haugo | Nurse Practitioner | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2015-01-05 |
| 1831416577 | Mary Marjorie Tschida | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2010-04-20 |
| 1114112075 | April Marie Dornsbach | Physician Assistant | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2007-09-12 |
| 1629293055 | Renae Dorrity | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2007-04-13 |
| 1710063250 | Michael R. Mcnelis | Obstetrics & Gynecology | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-10-27 |
| 1083643936 | Krista Ann Honsey | Obstetrics & Gynecology | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-07-02 |
| 1225087497 | Lynne M Stafford | Psychologist | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513128 | Jacqueline Jensen | Physical Therapist | 601 Central Ave W, Suite 102, St Michael, MN 55376 | 2019-05-17 |
| 1902308901 | Great Lakes Chiropractic of St. Michael Pllc Ltd | Chiropractor | 116 Central Ave E, Saint Michael, MN 55376 | 2018-03-06 |
| 1073050704 | Catherine Passe | Registered Nurse | 600 Central Street Avenue East, St Michael, MN 55376 | 2017-01-19 |
| 1518208313 | Allison Rae Delaney | Speech-Language Pathologist | 403 East Central Ave, Suite 102, Sunny Days Therapy, St. Michael, MN 55376 | 2013-03-05 |
| 1902195357 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9 Central Ave E, Saint Michael, MN 55376 | 2011-04-06 |
| 1629148523 | John Richard Biorn | Dentist | 399 East Central Ave, St. Michael, MN 55376 | 2006-11-08 |
| 1124096730 | Catherine T Pham | Pediatrics | 4300 Edgewood Drive Ne, St. Michael, MN 55376 | 2006-03-09 |
| 1295256345 | Caleb John Mol | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2017-06-29 |
| 1508022922 | Katie J Stangl | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2008-08-05 |
| 1225100811 | Posthumus & Biorn, Inc. | Dentist | 399 Central Ave E, Saint Michael, MN 55376-0279 | 2006-11-15 |
| Find all providers in zip 55376 | ||||
| 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 |
|---|---|---|---|---|
| 1225087497 | Lynne M Stafford | Psychologist | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
| 1730716994 | Tamolyn Patterson Benke | Psychologist | 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 | 2020-03-26 |
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MICHAEL |
| Zip Code | 55376 |
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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.