JEREMY T ALDEN (NPI# 1376656991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376656991 |
Entity Type | Individual |
Full Name | JEREMY T ALDEN |
Credential | PHD LP |
Practice Address |
347 North Smith Avenue Childrens Specialty Clinic Psychological Services St Paul MN 55102 |
Mailing Address |
2910 Centre Pointe Drive 35 121a Childrens Health Care Roseville MN 55113 |
Practice Telephone | 6512206720 |
Practice Fax Number | 6512206707 |
Mailing Telephone | 6518552327 |
Mailing Fax Number | 6518552310 |
Enumeration Date | 2006-08-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | LP4240 | MN | Behavioral Health & Social Service Providers |
Street Address |
347 NORTH SMITH AVENUE CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES |
City | ST PAUL |
State | MN |
Zip Code | 55102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225008527 | Julie Chu | Pediatrics | 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-01-26 |
1033245980 | Rebekah A Forrest | Nurse Practitioner | 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 | 2007-02-26 |
1740369602 | Diane J Schmidt | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 | 2006-11-03 |
1386723245 | Cathleen M Rock | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Neurology Stpl, St Paul, MN 55102 | 2006-11-03 |
1285713396 | Mylynda S Livingston | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-11-02 |
1437238540 | Jodie A Raymaker | Psychologist | 347 North Smith Avenue, Midwest Childrens Resource Center 401, St Paul, MN 55102 | 2006-11-02 |
1568566826 | John F Helminski | Psychologist | 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 | 2006-09-08 |
1215039268 | Vicki L Nauschultz | Psychologist | 347 North Smith Avenue, 401, St Paul, MN 55102 | 2006-09-01 |
1679686299 | Alyssa K Vang | Psychologist | 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 | 2006-08-17 |
1700999331 | Denise A Marvinney | Psychologist | 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 | 2006-08-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
Find all providers in zip 55102 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184737710 | Julie Ann Robinson | Clinical Neuropsychologist | 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 | 2006-08-17 |
1063471506 | Bonnie L Carlson-green | Clinical Neuropsychologist | 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 | 2006-03-22 |
1427035021 | Cynthia Richardson Spicuzza | Clinical Neuropsychologist | 2550 University Ave West, Ste 229n, St Paul, MN 55114 | 2005-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992302228 | Jsr Neuropsychological Services Pllc | Clinical Neuropsychologist | 3209 W 76th St Ste 207, Edina, MN 55435-5246 | 2020-10-09 |
1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
1013557057 | Erik De Water | Clinical Neuropsychologist | 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 | 2020-01-07 |
1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
1285118687 | Chimei M Lee | Clinical Neuropsychologist | 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 | 2018-09-20 |
1861990012 | Susan Mcpherson Phd Abpp Lp LLC | Clinical Neuropsychologist | 6550 York Ave S Ste 419, Edina, MN 55435-2335 | 2018-01-23 |
1609399153 | Sheryl Jayne Pleiss | Clinical Neuropsychologist | 6640 Shady Oak Rd Ste 375, Eden Prairie, MN 55344-7834 | 2017-07-17 |
1598204869 | Adam Piccolino | Clinical Neuropsychologist | 11800 Singletree Ln Ste 203, Eden Prairie, MN 55344-5397 | 2017-02-19 |
1770832875 | Allen Stock | Clinical Neuropsychologist | 3320 Walnut Grove Ln N, Plymouth, MN 55447-1026 | 2012-09-05 |
1962750026 | Paul Marshall LLC | Clinical Neuropsychologist | 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 | 2012-08-21 |
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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.