MARY BETH SCANLON (NPI# 1366405367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366405367 |
| Entity Type | Individual |
| Full Name | MARY BETH SCANLON |
| Credential | PHD, LP |
| Practice Address |
1110 Yankee Doodle Rd Eagan MN 55121-2092 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 6514543970 |
| Practice Fax Number | 6512410059 |
| Mailing Telephone | 6122624813 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP1288 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 373053100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841375607 | Mary Louise Scanlon | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2006-10-27 |
| 1992887087 | Mary H Scanlon | Radiology | 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104-4206 | 2006-10-19 |
| 1245327782 | Mary Susan Scanlon | Obstetrics & Gynecology | 1721 Moon Lake Blvd Ste 100, Hoffman Estates, IL 60169-5700 | 2006-10-06 |
| 1245240548 | Mary Nocero Scanlon | Family Medicine | 101 S Federal Hwy, Lake Worth, FL 33460-4228 | 2006-08-09 |
| Street Address |
1110 YANKEE DOODLE RD |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-2092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477528180 | Eleanor-irene B Bucu | Pediatrics | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2006-02-17 |
| 1992236681 | Kayla Ann Harris | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2017-03-23 |
| 1972047298 | Meghan Tift | Nurse Practitioner | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2016-12-05 |
| 1871948588 | Jeffrey Sachs | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2016-05-01 |
| 1124439658 | Leela Krummel | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2014-05-19 |
| 1477963635 | Jamie Dyer | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2014-04-28 |
| 1033553987 | Kristina Marie Schultz | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2013-04-22 |
| 1285976670 | Katelyn Elizabeth Bezek | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2013-03-23 |
| 1952662694 | Jessica Lin Hansen | Pediatrics | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2012-05-30 |
| 1023376431 | Dylan August Bindman | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2012-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| 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 |
|---|---|---|---|---|
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1598965931 | Robyn A Drach | Psychologist | 2113 Cliff Drive, #104, Eagan, MN 55122 | 2007-07-24 |
| 1750491296 | Traci Lee Hackmann Bates | Psychologist | 3920 Sibley Memorial Hwy, Eagan, MN 55122-1414 | 2006-08-30 |
| 1679555122 | Linda Kamstra Gordon | Psychologist | 4651 Nicols Rd, Suite 102a, Eagan, MN 55122-3336 | 2005-11-18 |
| 1326048422 | Linda S. Raasch | Psychologist | 4555 Erin Dr, Suite 260, Eagan, MN 55122-3398 | 2005-07-29 |
| 1043835671 | Sgw Psychological Services LLC | Psychologist | 1585 Thomas Center Dr, Eagan, MN 55122-3007 | 2020-06-09 |
| 1598055311 | Thomas G Singleton | Psychologist | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2011-04-13 |
| 1376864421 | Mary Rekuski | Psychologist | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2010-06-11 |
| 1093952400 | Michael Lee Bortel | Psychologist | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2009-01-07 |
| 1285853580 | Robert Daniel Berger | Psychologist | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2007-04-25 |
| Find all providers in EAGAN | ||||
Please comment or provide details below to improve the information on MARY BETH SCANLON.
| 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.