SARA VACCARELLA


Address: 331 W Superior St Ste 300, Duluth, MN 55802-4532
Phone: 2185912648

SARA VACCARELLA (NPI# 1245750652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245750652
Entity Type Individual
Full Name SARA VACCARELLA
Credential PSYD
Practice Address 331 W Superior St Ste 300
Duluth
MN 55802-4532
Mailing Address 1346 W Arrowhead Rd # 163
Duluth
MN 55811-2218
Practice Telephone 2185912648
Mailing Telephone 2183490203
Enumeration Date 2017-06-27
Last Update Date 2017-06-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
LP6008 MN Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
LP6008 MN Behavioral Health & Social Service Providers
Y 103TF0200X Psychologist
Specialization: Forensic
LP6008 MN Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
LP6008 MN Behavioral Health & Social Service Providers

Office Location

Street Address 331 W SUPERIOR ST STE 300
City DULUTH
State MN
Zip Code 55802-4532

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063915239 Jpw Counseling & Consultation Social Worker 302 W Superior St Ste 508, Duluth, MN 55802 2018-03-14
1134664311 Amp Group, LLC Counselor 331 West Superior Street, Duluth, MN 55802 2016-12-27
1982151361 Tiffany Riester Counselor 332 W Superior Street, Suite 300, Duluth, MN 55802 2016-09-02
1730635392 Karina Krosbakken Counselor 332 W. Superior St., Suite 300, Duluth, MN 55802 2016-09-01
1437559051 Natalie R Zwak Dietitian, Registered 26 E Superior St Ste 315, Duluth, MN 55802 2014-09-02
1447679279 Valerie Lou Shelton Registered Nurse 118 E Superior St., Duluth, MN 55802 2014-04-09
1285063115 Brian Bergstedt Counselor 332 West Superior Street, Suite 300, Duluth, MN 55802 2013-11-01
1508135948 Karen Dee Turner Counselor 202 W. Superior Street, Suite 700, Duluth, MN 55802 2011-12-14
1497023410 Jean Barrie Mcbride Pharmacist 1131 East Superior Street, Duluth, MN 55802 2011-12-05
1194092304 Diane Murphy Winship Pharmacist 1331 Superior St, Duluth, MN 55802 2011-11-17
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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326483843 Franco Peric Psychologist 230 W Superior St Ste 459, Duluth, MN 55802-1916 2013-05-10
1598328155 Superior Forensic Consulting Psychologist 230 W Superior St Ste 459, Duluth, MN 55802-1916 2019-04-19
1649207341 Anita M Schlank Psychologist 1401 E 1st St, Duluth, MN 55805-2407 2006-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306479316 Brie Pileggi-valleen Psychologist 413 Brandywine Dr, Burnsville, MN 55337-4023 2020-02-18
1083961635 National Initiatives for Healthy Youth Psychologist 7948 Quail Ave N, Brooklyn Park, MN 55443-2423 2012-08-13
1407023591 Kelly Wilson Psychologist 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 2008-05-08
1043481658 Edmund Edward Nadolny Psychologist 1000 Willmar Ave Sw, Behavioral Forensic Services, Willmar, MN 56201-3067 2008-03-23
1093859332 Associated Counseling Services, Pllc Psychologist 2625 Edgerton St, Little Canada, MN 55117-1620 2007-02-19
1124643408 Adam Gierok Psychologist 1516 W Lake St Ste 110, Minneapolis, MN 55408-2554 2020-06-11
1316587967 Lauren Reed Psychologist 8640 Eagle Creek Cir, Savage, MN 55378-4400 2020-01-12
1376071316 Alexander G Kovic Psychologist 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2017-06-02
1043660517 Mary Kathryn Kenning Psychologist 5100 Eden Ave, Suite 320, Edina, MN 55436-2337 2016-06-15
1306099379 Nicholas Druhn Psychologist 300 S 6th St, Suite C-509, Minneapolis, MN 55487-0351 2008-11-03
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Competitor

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City DULUTH
Zip Code 55802

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Dataset Information

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.

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