DR. SANDRA M WICK (NPI# 1285784405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285784405 |
| Entity Type | Individual |
| Full Name | DR. SANDRA M WICK |
| Credential | PH.D., L.P. |
| Practice Address |
2399 Ariel St N Ste D Maplewood MN 55109-2202 |
| Mailing Address |
2399 Ariel St N Ste D Maplewood MN 55109-2203 |
| Practice Telephone | 6517701311 |
| Practice Fax Number | 6517701879 |
| Mailing Telephone | 6517701311 |
| Mailing Fax Number | 6517701879 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP2578 | MN | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT0280 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871958868 | Sandra Wick | Occupational Therapy Assistant | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2015-12-18 |
| Street Address |
2399 ARIEL ST N STE D |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194775841 | Carol Rogers-tanner | Psychologist | 2399 Ariel St N Ste D, Maplewood, MN 55109-2202 | 2006-05-11 |
| 1144472853 | Carol Elaine Mecklenburg | Psychologist | 2399 Ariel St N Ste D, Maplewood, MN 55109-2202 | 2008-10-14 |
| 1386716983 | Maplewood Psychology P.a. | Psychologist | 2399 Ariel St N Ste D, Maplewood, MN 55109-2203 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1649596222 | Eve P. Adams | Psychologist | 2112 Millburn Avenue, Suite 102b, Maplewood, NJ 07040 | 2010-04-08 |
| 1609060284 | Monica Jeanne-marie Indart | Psychologist | One Lenox Place, Suite C, Maplewood, NJ 07040 | 2007-08-28 |
| 1538373766 | John S Loconte | Psychologist | 697 Valley Street, Suite 2-a, Maplewood, NJ 07040 | 2007-05-09 |
| 1538215728 | Sangeetha Nayak | Psychologist | 111 Dunnell Rd, 2nd Floor, Maplewood, NJ 07040-2622 | 2007-01-28 |
| 1316049703 | Louis B Schlesinger | Psychologist | 12 Tower Dr, Maplewood, NJ 07040-1008 | 2006-09-05 |
| 1730108564 | Duncan E. Walton | Psychologist | 2115 Millburn Ave., Maplewood, NJ 07040-3714 | 2006-07-19 |
| 1194775841 | Carol Rogers-tanner | Psychologist | 2399 Ariel St N Ste D, Maplewood, MN 55109-2202 | 2006-05-11 |
| 1194784512 | Kimberly O Ryan | Psychologist | 2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109-2248 | 2006-03-23 |
| 1437155801 | Ernest Boswell | Psychologist | 1478 Sterling St N, Maplewood, MN 55119-7179 | 2005-06-21 |
| Find all providers in MAPLEWOOD | ||||
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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.