MARK SCHAEFER (NPI# 1154403673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154403673 |
| Entity Type | Individual |
| Full Name | MARK SCHAEFER |
| Credential | PHD |
| Practice Address |
8009 34th Ave S Suite 1490 Bloomington MN 55425-1794 |
| Mailing Address |
8009 34th Ave So Suite 1490 Bloomington MN 55425-1794 |
| Practice Telephone | 9528545550 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | LP0637 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 191 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 217J1SC | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639251002 | Mark Schaefer | Dentist | 6053 Fresh Pond Rd, Maspeth, NY 11378-3541 | 2006-10-19 |
| 1043664022 | Mark David Schaefer | Emergency Medicine | 1233 N 30th St, Billings, MT 59101 | 2016-04-15 |
| 1376863993 | Mark Allen Schaefer | Pharmacist | 12874 Florence Ave, Santa Fe Springs, CA 90670-4540 | 2010-06-04 |
| 1255492724 | Mark Schaefer | Psychologist | 1 Salem Grn, Suite 501, Salem, MA 01970-3724 | 2006-12-12 |
| 1609987569 | Mark Robert Schaefer | Rehabilitation Counselor | Va Puget Sound Health Care System, 9600 Veterans Drive, Tacoma, WA 98493-0001 | 2006-08-31 |
| 1629052428 | Mark J. Schaefer | Anesthesiology | 8901 W Lincoln Ave, 2nd Fl, West Allis, WI 53227-2409 | 2005-12-05 |
| Street Address |
8009 34TH AVE S SUITE 1490 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616534 | Sloan Renee King | Psychologist | 8009 34th Ave S, Suite 1490, Bloomington, MN 55425-1608 | 2005-08-19 |
| 1427350362 | Cheryl Kay Sybesma Van Noord | Psychologist | 8009 34th Ave S, Riverview Office Tower, Suite 1490, Bloomington, MN 55425-1608 | 2010-11-29 |
| 1033357355 | Northstar Psychological, Pllc | Community/Behavioral Health | 8009 34th Ave S, Riverview Office Tower, Suite 1490, Bloomington, MN 55425-1608 | 2009-01-23 |
| 1639364326 | Christine Dooley-harrington | Social Worker | 8009 34th Ave S, Suite 1490, Bloomington, MN 55425-1608 | 2007-09-06 |
| 1235354531 | Jean Manlove | Social Worker | 8009 34th Ave S, Suite 1490, Bloomington, MN 55425-1608 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| Find all providers in zip 55425 | ||||
| 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 |
|---|---|---|---|---|
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| 1427455179 | Lori K Campbell | Psychologist | 3925 E Hagan St, Ste 102, Bloomington, IN 47401-8649 | 2014-11-24 |
| 1013233584 | Michele Koselke | Psychologist | 205 N College Ave Ste 312, Bloomington, IN 47404-3953 | 2010-04-08 |
| 1114167194 | Robert C Kissel | Psychologist | 6063 Nehrt Rd, Bloomington, IN 47408-9107 | 2009-03-03 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1669656724 | Gay Robb Hallberg | Psychologist | 11060 Oregon Curv, Bloomington, MN 55438-2806 | 2007-12-26 |
| 1326250184 | Jennifer Elizabeth Bradley | Psychologist | 205 N College Ave Ste 514, Bloomington, IN 47404-3952 | 2007-05-04 |
| 1376685693 | Deborah A. Zera | Psychologist | 525 S Walker St, Suite 104, Bloomington, IN 47403-2152 | 2007-02-13 |
| 1700924800 | Susan J Rautio-dietz | Psychologist | 532 N Walnut St, Suite D, Bloomington, IN 47404-3809 | 2007-02-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55425 |
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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.