DR. JOHN CHARLES PUCEL (NPI# 1225203656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225203656 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES PUCEL |
| Credential | PH.D |
| Practice Address |
1481 25th St Se Saint Cloud MN 56304-9500 |
| Practice Telephone | 3202535405 |
| Practice Fax Number | 3202038387 |
| Mailing Telephone | 3202535405 |
| Mailing Fax Number | 3202038387 |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2008-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP2005 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1481 25TH ST SE |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56304-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597701 | Liza Aberle | Naturopath | 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 | 2019-09-17 |
| 1902386089 | Jd Home Health Care | Clinic/Center | 4896 52nd St, St. Cloud, MN 56304 | 2018-08-17 |
| 1861490690 | Julia Anna Blonigen | Speech-Language Pathologist | 1882 Kilian Blvd, St Cloud, MN 56304 | 2005-07-14 |
| 1700111705 | St. Cloud Metropolitan Transit Commission | Non-emergency Medical Transport (VAN) | 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2009-10-08 |
| 1053364976 | In Home Health LLC | Home Health | 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2006-05-19 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1326688417 | Sunshine Care Services Inc | In Home Supportive Care | 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 | 2020-01-07 |
| 1295039204 | Rose Melinda Stark-rose | Psychologist | 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 | 2011-01-05 |
| 1750448478 | Robin Stacey Colburn | Advanced Practice Midwife | 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 | 2007-01-02 |
| Find all providers in zip 56304 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1154668861 | Tania I Marrero | Psychologist | 1441 Lake Parkway Dr, Saint Cloud, FL 34771 | 2013-01-15 |
| 1568642841 | Eric Lester Felsch | Psychologist | 1407 33rd St S, Saint Cloud, MN 56301-5197 | 2007-11-05 |
| 1790893949 | Karem Cando Rovira | Psychologist | 2521 13th St Ste F, Saint Cloud, FL 34769-4103 | 2006-08-28 |
| 1659917599 | Brenda L Arroyo Crespo | Psychologist | 2521 13th St Ste F, Saint Cloud, FL 34769-4103 | 2019-11-26 |
| 1982249009 | Jessica Lee Anderson | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2019-11-13 |
| 1457815391 | Shannon Marie Sommer | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2019-01-24 |
| 1962971242 | Stephanie Anne Born | Psychologist | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2018-11-16 |
| 1801370416 | Andrew Dahlstrom | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2018-09-19 |
| 1578928016 | Brianna Salater | Psychologist | 1406 6th Ave N, Saint Cloud, MN 56303 | 2015-12-29 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56304 |
Please comment or provide details below to improve the information on DR. JOHN CHARLES PUCEL.
| 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.